Active NPI
Kristi Spence, LMFT
- Marriage & Family Therapist
- Broken Arrow, OK
National Provider Identifier
1831791524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 11409
- Practice address
- 840 S Aspen Ave Ste F
Broken Arrow, OK 74012-4803 - Phone
- (918) 212-8389
- NPI assigned
- Nov 9, 2020
- Last updated
- Oct 11, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 11409 | OK | Primary |
Addresses
Primary practice location
840 S Aspen Ave Ste F
Broken Arrow, OK 74012-4803
Mailing address
840 S Aspen Ave Ste F
Broken Arrow, OK 74012-4803
Phone (918) 212-8389
Other practice location 1
2498 W New Orleans St
Broken Arrow, OK 74011-1590
Phone (918) 505-4367 ext. 709
Other practice location 2
2035A W. Houston Street
Broken Arrow, OK 74012
Phone (918) 505-4367
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Previously, effective Aug 17, 2024 through Aug 17, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11409 | OK | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Counseling Service | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760140800000",
"number": "1831791524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "840 S ASPEN AVE STE F",
"city": "BROKEN ARROW",
"state": "OK",
"postal_code": "740124803",
"telephone_number": "918-212-8389"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "840 S ASPEN AVE STE F",
"city": "BROKEN ARROW",
"state": "OK",
"postal_code": "740124803",
"telephone_number": "918-212-8389"
}
],
"practiceLocations": [
{
"address_1": "2498 W New Orleans St",
"address_purpose": "LOCATION",
"city": "Broken Arrow",
"state": "OK",
"postal_code": "740111590",
"country_code": "US",
"telephone_number": "918-505-4367 x709",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2035A W. Houston Street",
"address_purpose": "LOCATION",
"city": "Broken Arrow",
"state": "OK",
"postal_code": "74012",
"country_code": "US",
"telephone_number": "918-505-4367",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SPENCE",
"first_name": "KRISTI",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-09",
"last_updated": "2025-10-11",
"certification_date": "2025-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "OK",
"license": "11409",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Broken Arrow, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.