Spencer Counseling & Therapy

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

SPENCER COUNSELING & THERAPY

Practice address

6866 Pine Forest Rd Ste a
Pensacola, FL 32526-6903

Phone

(850) 972-9897

Fax

(850) 972-9898

NPI assigned

Jun 26, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kawanza Spencer, PROVISION COUNSELORNPI 1881189421

Title

Owner, Counselor

Phone

(850) 972-9897

Specialties & licenses 3

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kawanza Spencer, OWNER, REGISTEINTERN

  • Counselor
  • Pensacola, FL
  • NPI 1881189421

  Mental Health

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1529971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649116800000",
    "number": "1841785482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6888 PINE FOREST ROAD",
            "address_2": "SUITE A",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325262673",
            "telephone_number": "850-972-9897",
            "fax_number": "850-972-9898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6866 PINE FOREST RD STE A",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325266903",
            "telephone_number": "850-972-9897",
            "fax_number": "850-972-9898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPENCER COUNSELING & THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-26",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A",
        "authorized_official_last_name": "SPENCER",
        "authorized_official_first_name": "KAWANZA",
        "authorized_official_title_or_position": "OWNER, COUNSELOR",
        "authorized_official_telephone_number": "850-972-9897",
        "authorized_official_credential": "PROVISION COUNSELOR"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1841785482",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "=========",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gregory C. Speer, M. D.
• Morgan Speichinger, RN
• Spence and Spence Wellness Inc
• Alexander Spence, MD
• Takaila Spence
• Charles Vernon Spencer, NRP
• Katy Spencer, RDN, LD
• Kawanza Spencer, OWNER, REGISTEINTERN
• Kristyn Spencer, M.A. CCC-SLP
• Paige Spencer, PSY.D.

• Adult Mental Health Clinic/Center in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Adult Mental Health Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.