Individual provider Active NPI

Katie Rose Spence

  • Mental Health Counselor
  • Batavia, NY
National Provider Identifier
1912650854
Registry record updated Feb 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
5130 E Main St
Batavia, NY 14020-3444
Phone
(585) 344-1421
NPI assigned
Feb 1, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

5130 E Main St
Batavia, NY 14020-3444

Mailing address

5130 E Main St
Batavia, NY 14020-3444
Phone (585) 344-1421

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kspence@co.genesee.ny.gov

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250903001080 NY Practitioner - Mental Health Counselor 8325549082 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of Genesee County TreasurerGroup PAC ID 2961398060, 14 clinicians

Practice addresses (Care Compare)

5130 E Main St Rd
Suite 2
Batavia, NY 14020-3496
Phone 58534414216610

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
014913NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
County of Genesee County Treasurer CurrentSince Aug 25, 2025 Accepting new patients
County of Genesee County Treasurer CurrentSince Aug 25, 2025 Accepting new patients

Locations

5130 E Main Street Rd
Batavia, NY 14020
Phone (585) 344-1421

5130 E Main Street Rd
Ste 2
Batavia, NY 14020
Phone (585) 344-1421

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1643673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643673600000",
    "number": "1912650854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5130 E MAIN ST",
            "city": "BATAVIA",
            "state": "NY",
            "postal_code": "140203444",
            "telephone_number": "585-344-1421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5130 E MAIN ST",
            "city": "BATAVIA",
            "state": "NY",
            "postal_code": "140203444",
            "telephone_number": "585-344-1421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCE",
        "first_name": "KATIE",
        "middle_name": "ROSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-01",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kspence@co.genesee.ny.gov",
            "affiliation": "N",
            "address_1": "5130 E Main St",
            "city": "Batavia",
            "state": "NY",
            "country_code": "US",
            "postal_code": "140203444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Batavia, NY

Sources for this page

Verify at the official NPI Registry.