Individual provider Active NPI

Xavier Aubrey Spencer, IMFT

  • Marriage & Family Therapist
  • Strongsville, OH
National Provider Identifier
1942535240
Registry record updated Dec 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
F1300005 Issued in OH
Practice address
15400 Pearl Rd Ste 236
Strongsville, OH 44136-6000
Phone
(216) 395-7144
Fax
(216) 245-3634
NPI assigned
Oct 5, 2009
Last updated
Dec 14, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X F1300005 OH Primary

Addresses

Primary practice location

15400 Pearl Rd Ste 236
Strongsville, OH 44136-6000

Mailing address

15400 Pearl Rd Ste 236
Strongsville, OH 44136-6000
Phone (216) 395-7144

Other practice location 1

20620 John Carroll Blvd Ste 202
University Heights, OH 44118-4540
Phone (216) 395-7144

Other identifiers 1

IdentifierTypeStateIssuer
0163604MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20240313002387 OH Practitioner - Marriage and Family Therapist 3870939796 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F1300005OHMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Spencer Price - Robinson & Co., LLC Marriage & Family Therapist CurrentSince Nov 18, 2023 Accepting new patients

Locations

3214 Prospect Ave E
Cleveland, OH 44115
Phone (216) 910-9015

15400 Pearl Rd
Ste 236
Strongsville, OH 44136
Phone (216) 395-7144

20620 John Carroll Blvd
Ste 202
University Hts, OH 44118
Phone (216) 395-7144

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": "1254700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702512000000",
    "number": "1942535240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15400 PEARL RD STE 236",
            "city": "STRONGSVILLE",
            "state": "OH",
            "postal_code": "441366000",
            "telephone_number": "216-395-7144",
            "fax_number": "216-245-3634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15400 PEARL RD STE 236",
            "city": "STRONGSVILLE",
            "state": "OH",
            "postal_code": "441366000",
            "telephone_number": "216-395-7144",
            "fax_number": "216-245-3634"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20620 John Carroll Blvd Ste 202",
            "address_purpose": "LOCATION",
            "city": "University Heights",
            "state": "OH",
            "postal_code": "441184540",
            "country_code": "US",
            "telephone_number": "216-395-7144",
            "fax_number": "216-245-3634",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "XAVIER",
        "middle_name": "AUBREY",
        "name_prefix": "Mr.",
        "credential": "IMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-05",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OH",
            "license": "F1300005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0163604",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Strongsville, OH

Sources for this page

Verify at the official NPI Registry.