Kawanza Spencer, OWNER, REGISTEINTERN

Primary specialty

CounselorTaxonomy code 101Y00000X

License

15681 Issued in FL

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

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 6

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Spencer Counseling & Therapy

  • Adult Mental Health Clinic/Center
  • Pensacola, FL
  • NPI 1841785482
  NPD Authorized official

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

{
    "created_epoch": "1529971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1881189421",
    "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": {
        "last_name": "SPENCER",
        "first_name": "KAWANZA",
        "credential": "OWNER, REGISTEINTERN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-26",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "FL",
            "license": "1830",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "1830",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "FL",
            "license": "1830",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1830",
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "FL",
            "license": "1830",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "FL",
            "license": "15681",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1841785482",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1881189421",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "$$$$$$$$$",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexander Spence, MD
• Takaila Spence
• Spencer Counseling & Therapy
• Charles Vernon Spencer, NRP
• Katy Spencer, RDN, LD
• Kristyn Spencer, M.A. CCC-SLP
• Paige Spencer, PSY.D.
• Robert H Spencer, MD
• Stanford Spencer, OTR
• Thomas Richmond Spencer, PHD PSYD

• Counselor in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Counselor 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.