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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: October 25, 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
Phone(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
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Secondary Practice Location 1

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Latasha Spencer reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Team Mental Health Services Inc.
2.5 mi
Primary Care
3646 MOUNT ELLIOTT ST
Detroit, MI 48207
  • Reassigned Medicare billing, Michigan enrollment
  • 116 clinicians in this Medicare group
NPI 1295324291 (313) 626-2400
Henry Ford Health Eastwood Behavioral Health
14 mi
Social Worker
37500 GARFIELD RD STE 175
Clinton Township, MI 48036
  • Reassigned Medicare billing, Michigan enrollment
  • 98 clinicians in this Medicare group
NPI 1396787701 (586) 792-5335

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

CHERRY STREAT HEALTH SERVICES
Substance Abuse Rehabilitation Facility
11105 E JEFFERSON AVE
DETROIT, MI 48214
Wayne County (313) 822-4060
DAMON SMITH
Peer Specialist
11105 E JEFFERSON AVE
DETROIT, MI 48214
Wayne County (888) 813-8326
GLENDA WALKCARR
Social Worker
11105 E JEFFERSON AVE
DETROIT, MI 48214
Wayne County (313) 396-5300
SHONDA ELIZABETH URBIEL LLMSW
Social Worker (Clinical)
11105 E JEFFERSON AVE
DETROIT, MI 48214
Wayne County (734) 695-0063
KENISHA LYNETTE JOHNSON
Social Worker (Clinical)
11105 E JEFFERSON AVE
DETROIT, MI 48214
Wayne County (313) 952-5728
CHERIE CROSBY
Social Worker (Clinical)
11105 E JEFFERSON AVE
DETROIT, MI 48214
Wayne County (313) 740-0303
PAUL SMITH
Social Worker (Clinical)
11105 E JEFFERSON AVE
DETROIT, MI 48214
Wayne County (888) 813-8326
NANCY LYNN DUNIGAN MSW, RAC
Counselor (Mental Health)
11105 E JEFFERSON AVE
DETROIT, MI 48214
Wayne County (248) 495-8985

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.

Which organizations bill Medicare for Latasha Spencer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Latasha Spencer reassigns Medicare benefits to 2 organizations: Team Mental Health Services Inc. (Detroit, MI) and Henry Ford Health Eastwood Behavioral Health (Clinton Township, MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Latasha Spencer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Latasha Spencer accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers 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.