JESSICA SPENCER (NPI# 1649690116) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649690116 |
| Entity Type | Individual |
| Full Name | JESSICA SPENCER |
| Practice Address |
1225 E Big Beaver Rd Troy MI 48083-1905 |
| Practice Telephone | 2485248825 |
| Practice Fax Number | 2485248855 |
| Mailing Telephone | 2485248825 |
| Mailing Fax Number | 2485248855 |
| Enumeration Date | 2014-04-23 |
| Last Update Date | 2014-04-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629608005 | Jessica Spencer | Physical Therapist | 3500 Clinton Pkwy Ste 200, Lawrence, KS 66047-2145 | 2020-01-24 |
| 1649775354 | Jessica Spencer | Speech-Language Pathologist | 4910 Pineland Dr, Savannah, GA 31405-2508 | 2018-03-26 |
| 1144765785 | Jessica Spencer | Physical Therapist | Osf St Francis, 530 Ne Glen Oak, Peoria, IL 61637-0001 | 2017-01-05 |
| 1639520695 | Jessica Spencer | Counselor | 600 8th Ave W, Suite 303, Palmetto, FL 34221-5168 | 2016-06-30 |
| 1184984858 | Jessica Danielle Spencer | Case Manager/Care Coordinator | 304 Meadow Rd, Syracuse, NY 13219-2308 | 2012-05-29 |
| 1760668396 | Jessica Bronwyn Spencer | Obstetrics & Gynecology | 550 Peachtree Rd., Crawford Long Medical Office Tower, Ste 1800, Atlanta, GA 30308 | 2008-01-14 |
| 1902003387 | Jessica Marie Spencer | Counselor | 1601 E Fourth Plain Blvd., Vancouver, WA 98668 | 2007-06-29 |
| 1912059437 | Jessica Lynn Spencer | Home Health Aide | 3500 Wise Ln, Mc Connelsville, OH 43756-9122 | 2007-01-17 |
| 1366935991 | Jessica Spencer | Physical Therapy Assistant | 1952 E Fort Union Blvd, Salt Lake City, UT 84121-6877 | 2018-06-08 |
| 1891216404 | Jessica Ann Spencer | Registered Nurse | 1479 N River Rd, Fremont, OH 43420-9760 | 2017-07-05 |
| Street Address |
1225 E BIG BEAVER RD |
| City | TROY |
| State | MI |
| Zip Code | 48083-1905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891748455 | Borhan I Rais | Social Worker | 1225 E Big Beaver Rd, Troy, MI 48083-1905 | 2006-05-17 |
| 1548869001 | Krista Lyanne Serda | Peer Specialist | 1225 E Big Beaver Rd, Troy, MI 48083-1905 | 2020-10-25 |
| 1003437104 | Deanna Lynn Childs | Case Manager/Care Coordinator | 1225 E Big Beaver Rd, Troy, MI 48083-1905 | 2020-04-29 |
| 1891314365 | Jessica Frances Hebel | Case Manager/Care Coordinator | 1225 E Big Beaver Rd, Troy, MI 48083-1905 | 2020-04-14 |
| 1942839295 | David Justin Hartman | Case Manager/Care Coordinator | 1225 E Big Beaver Rd, Troy, MI 48083-1905 | 2020-04-07 |
| 1821623851 | Cindy Lou Elkins | Specialist/Technologist, Other | 1225 E Big Beaver Rd, Troy, MI 48083-1905 | 2020-03-10 |
| 1356981724 | Paul E Dery | Case Manager/Care Coordinator | 1225 E Big Beaver Rd, Troy, MI 48083-1905 | 2020-01-13 |
| 1174161939 | Samarah Dye | Behavior Technician | 1225 E Big Beaver Rd, Troy, MI 48083-1905 | 2019-12-11 |
| 1457992505 | Kalli Lynn Snitgen | Social Worker | 1225 E Big Beaver Rd, Troy, MI 48083-1905 | 2019-09-30 |
| 1538719240 | Lynn Marie Schulte | Registered Nurse | 1225 E Big Beaver Rd, Troy, MI 48083-1905 | 2019-09-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417420449 | Thapasvi Muttirevula | Physical Therapist | 2422 Cedar Knoll Dr, Troy, MI 48083 | 2019-01-02 |
| 1114418290 | Ann Katchke | Physical Therapist | 3179 Livernois Rd, Troy, MI 48083 | 2018-05-23 |
| 1518485945 | Risa Rae Mendelson | Counselor | 1059 Owendale Street, Troy, MI 48083 | 2017-09-06 |
| 1497277115 | Gassan Asadi | Pharmacist | 215 E Big Beaver Rd Ste 500, Troy, MI 48083 | 2017-07-14 |
| 1528510328 | Dylan Skye Polasko | Behavioral Analyst | 2221 E 4th St, #101, Troy, MI 48083 | 2016-10-27 |
| 1235683061 | Sadia Ghazi | Technician, Other | 3178 Daley Dr., Troy, MI 48083 | 2016-08-10 |
| 1548664345 | Amber Leigh Ernst | Social Worker | 1225 E. Big Beaver Road, Troy, MI 48083 | 2014-10-22 |
| 1356782411 | Michelle Louise Knoblock | Nurse Anesthetist, Certified Registered | 1560 E Maple Rd Ste 100, Troy, MI 48083 | 2013-07-17 |
| 1437400728 | Oakland Physicians Surgery Center | Clinic/Center | 1560 E. Maple Road, Suite 100, Troy, MI 48083 | 2012-09-26 |
| 1861748238 | Pro Med Substance Abuse Program LLC | Psychologist | 2891 E. Maple Rd. Suite 200, Troy, MI 48083 | 2012-08-03 |
| Find all providers in zip 48083 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669082210 | Stacey Smiley | Counselor | 144 Cedar Dr, Troy, AL 36079-4913 | 2020-08-07 |
| 1871137166 | Tyesha Durr | Counselor | 117 Green Dr, Troy, AL 36079-5701 | 2019-10-30 |
| 1598328130 | Starting Point Counseling | Counselor | 1305 S Brundidge St Ste G, Troy, AL 36081-3137 | 2019-04-18 |
| 1558827279 | Patricia Lynne Thaar-novak | Counselor | 2820 W Maple Rd Ste 128, Troy, MI 48084-7047 | 2019-02-19 |
| 1255803458 | Rosemary Carroll | Counselor | 5616 Patterson Dr, Troy, MI 48085-3924 | 2018-12-28 |
| 1164907754 | Patrick Eugene Hampton | Counselor | 82 County Road 5501, Troy, AL 36081-5906 | 2018-09-28 |
| 1770061509 | Experiential Mental Health Counseling LLC | Counselor | 120 Defreest Dr Ste 220, Troy, NY 12180-7608 | 2018-08-02 |
| 1336638758 | Kristin Dolph | Counselor | 305 Public Sq, Troy, OH 45373 | 2018-05-02 |
| 1881191336 | Shana R Goldman | Counselor | 1600 7th Ave Ste 3, Troy, NY 12180-3410 | 2018-04-11 |
| 1326556879 | Masoumeh Moradi | Counselor | 2820 W Maple Rd Ste 100, Troy, MI 48084-7064 | 2018-01-18 |
| Find all providers in TROY | ||||
Please comment or provide details below to improve the information on JESSICA SPENCER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.