LATASHA JUDY SPENCER LLPC
NPI 1003469644
Counselor in Detroit, MI

Active since July 23, 2019PECOS EnrolledAccepts Medicare Assignment
11105 E JEFFERSON AVE, DETROIT, MI 48214(248) 417-1784 Get Directions Write a Review

NPPES record last updated: April 15, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 15, 2024, Oct 26, 2023, Jul 23, 2019 (3 updates tracked since 2019).

About Latasha Judy Spencer Llpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LATASHA JUDY SPENCER LLPC (NPI 1003469644) is an individual counselor in Detroit, Michigan, licensed in Michigan (6401017425) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Southfield, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1003469644
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameLATASHA JUDY SPENCERCredential: LLPC
Location Address11105 E JEFFERSON AVEDetroit, MI 48214-3317
Mailing Address11105 E Jefferson AveDetroit, MI 48214-3317 · (248) 417-1784
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 23, 2019
Last NPPES UpdateApril 15, 20243 updates tracked since enumeration
NPPES CertifiedApril 15, 2024
NPI 1003469644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License Licensed in MI · 6401017425
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
11105 E JEFFERSON AVE, Detroit, MI 48214

Secondary Practice Location 1

Location 122255 Greenfield Rd Ste 300Southfield, MI 48075-3729 · Phone (248) 849-3301

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Latasha Judy Spencer Llpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID42659195
PECOS Enrollment IDI20240422002963
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Substance Abuse Rehabilitation Facility
11105 E JEFFERSON AVE
DETROIT, MI 48214
Peer Specialist
11105 E JEFFERSON AVE
DETROIT, MI 48214
Social Worker
11105 E JEFFERSON AVE
DETROIT, MI 48214
Social Worker (Clinical)
11105 E JEFFERSON AVE
DETROIT, MI 48214
Social Worker (Clinical)
11105 E JEFFERSON AVE
DETROIT, MI 48214
Social Worker (Clinical)
11105 E JEFFERSON AVE
DETROIT, MI 48214
Social Worker (Clinical)
11105 E JEFFERSON AVE
DETROIT, MI 48214
Counselor (Mental Health)
11105 E JEFFERSON AVE
DETROIT, MI 48214

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Latasha Spencer's NPI number?

The NPI number for Latasha Spencer is 1003469644. It was assigned to this individual provider in the NPPES registry on July 23, 2019.

Where is Latasha Spencer located?

Latasha Spencer practices at 11105 E Jefferson Ave, Detroit, MI 48214. The listed phone number is (248) 417-1784.

What is Latasha Spencer's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Latasha Spencer enrolled in Medicare?

Yes. Latasha Spencer is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Latasha Spencer accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community, Oscar Insurance Company and Priority Health list Latasha Spencer as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Latasha Spencer was last updated on April 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.