Individual provider Active NPI

Aerial Spencer, MA

  • Mental Health Counselor
  • Washington, DC
National Provider Identifier
1841803673
Registry record updated Nov 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PSYA00001257 Issued in DC
Practice address
1930 Martin Luther King Jr Ave SE
Washington, DC 20020-7006
Phone
(202) 450-5822
NPI assigned
Aug 31, 2020
Last updated
Nov 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Mental Health Counselor 101YM0800X PSYA00001257 DC Primary

Addresses

Primary practice location

1930 Martin Luther King Jr Ave SE
Washington, DC 20020-7006

Mailing address

510 Dennis Magruder Dr
Upper Marlboro, MD 20774-2108

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.cwellnessv.com/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
PSYA00001257DCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Community Wellness Ventures, LLC CurrentSince Feb 19, 2023 Accepting new patients
Loudoun Psychological Services, LLC PastSince Sep 1, 2020 Accepting new patients

Locations

1930 Martin Luther King Jr Ave SE
Washington, DC 20020
Phone (202) 450-5822

Organizations & group practices 2

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": "1598832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669593600000",
    "number": "1841803673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 DENNIS MAGRUDER DR",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207742108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 MARTIN LUTHER KING JR AVE SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200207006",
            "telephone_number": "202-450-5822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "AERIAL",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-31",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "DC",
            "license": "PSYA00001257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.cwellnessv.com/",
            "affiliation": "N",
            "address_1": "1930 Martin Luther King Jr Ave SE",
            "city": "Washington",
            "state": "DC",
            "country_code": "US",
            "postal_code": "200207006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.