Active NPI
Peyton Spencer
- Mental Health Counselor
- Tacoma, WA
National Provider Identifier
1982360657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 610 Yakima Ave
Tacoma, WA 98405-4851 - Phone
- (253) 883-8538
- NPI assigned
- Nov 16, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
610 Yakima Ave
Tacoma, WA 98405-4851
Mailing address
304 Puyallup Ave Apt 403
Tacoma, WA 98421-1344
Phone (253) 883-8538
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | nspey@outlook.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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637020800000",
"number": "1982360657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "304 PUYALLUP AVE APT 403",
"city": "TACOMA",
"state": "WA",
"postal_code": "984211344",
"telephone_number": "253-883-8538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 YAKIMA AVE",
"city": "TACOMA",
"state": "WA",
"postal_code": "984054851",
"telephone_number": "253-883-8538"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPENCER",
"first_name": "PEYTON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-11-16",
"last_updated": "2021-11-16",
"certification_date": "2021-11-16",
"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": "nspey@outlook.com",
"affiliation": "N",
"address_1": "610 Yakima Ave",
"city": "Tacoma",
"state": "WA",
"country_code": "US",
"postal_code": "984054851",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.