Organization Active NPI

Spero Counseling Center, LLC

  • Clinical Social Worker
  • Springfield, MO
National Provider Identifier
1992327001
Registry record updated Nov 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SPERO COUNSELING CENTER, LLC
Practice address
3101 S Kimbrough Ave # B
Springfield, MO 65807-5011
Phone
(417) 893-9259
NPI assigned
May 12, 2020
Last updated
Nov 15, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2021

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

Authorized official

Name
Meghan Roetto, LCSWNPI 1285145730
Title
LCSW
Phone
(417) 893-9359

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

3101 S Kimbrough Ave # B
Springfield, MO 65807-5011

Mailing address

3101 S Kimbrough Ave # B
Springfield, MO 65807-5011
Phone (417) 893-9359

Other identifiers 1

IdentifierTypeStateIssuer
1285145730MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200730002871 MO Part B Supplier - Clinic/Group Practice 3870918360 Receives reassigned benefits from 1 practitioner
Practice locations: Springfield, MO

National Provider Directory

National Provider Directory

Locations

1638C E Republic Rd
Springfield, MO 65804
Phone (417) 839-1156

3101 S Kimbrough Ave
#B
Springfield, MO 65807
Phone (417) 893-9259

3506 S Culpepper Cir
Ste D
Springfield, MO 65804
Phone (417) 210-1470

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1589241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636934400000",
    "number": "1992327001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 S KIMBROUGH AVE # B",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075011",
            "telephone_number": "417-893-9359",
            "fax_number": "417-450-4896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 S KIMBROUGH AVE # B",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075011",
            "telephone_number": "417-893-9259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPERO COUNSELING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-12",
        "last_updated": "2021-11-15",
        "certification_date": "2021-11-15",
        "status": "A",
        "authorized_official_last_name": "ROETTO",
        "authorized_official_first_name": "MEGHAN",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "417-893-9359",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1285145730",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.