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TATYANA LATRICE SPEARS LCADC
NPI 1609610674
Counselor - Addiction (Substance Use Disorder) in Crestview Hills, KY

Active since June 24, 2024PECOS Enrolled
10 TOWN CENTER BLVD STE 2, CRESTVIEW HILLS, KY 41017(859) 360-6120(606) 547-4253 Get Directions Write a Review

NPPES record last updated: October 22, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tatyana Latrice Spears Lcadc NPPES

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

TATYANA LATRICE SPEARS LCADC (NPI 1609610674) is an individual addiction (substance use disorder) provider in Crestview Hills, Kentucky, licensed in Kentucky (289741) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1609610674
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameTATYANA LATRICE SPEARSCredential: LCADC
Location Address10 TOWN CENTER BLVD STE 2Crestview Hills, KY 41017-2416
Mailing Address2901 Pigeon Roost RdRush, KY 41168-8132 · (606) 928-6648 · Fax (606) 928-1056
Phone(859) 360-6120
Fax(606) 547-4253
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJune 24, 2024
Last NPPES UpdateOctober 22, 2025
NPPES CertifiedOctober 22, 2025
✔ NPI 1609610674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in KY · 289741
10 TOWN CENTER BLVD STE 2, Crestview Hills, KY 41017
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tatyana Latrice Spears Lcadc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9638655327
PECOS Enrollment IDI20260113000591
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 6

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

TIFFANY ASHLEY LCSW
Social Worker
10 TOWN CENTER BLVD STE 2
CRESTVIEW HILLS, KY 41017
Kenton County (859) 360-6120
CASSIDY LEE JAMES
Social Worker
10 TOWN CENTER BLVD STE 2
CRESTVIEW HILLS, KY 41017
Kenton County (859) 360-6120
KAYLA BROOKE GILBERT LPCC
Counselor (Professional)
10 TOWN CENTER BLVD STE 2
CRESTVIEW HILLS, KY 41017
Kenton County (859) 360-6120
AMANDA MICHELLE BROWNE LCSW
Social Worker
10 TOWN CENTER BLVD STE 2
CRESTVIEW HILLS, KY 41017
Kenton County (859) 360-6120
LAUREN R THOMPSON LCSW
Social Worker
10 TOWN CENTER BLVD STE 2
CRESTVIEW HILLS, KY 41017
Kenton County (859) 360-6120
KAELIN ANNE VEGA LCSW
Social Worker (Clinical)
10 TOWN CENTER BLVD STE 2
CRESTVIEW HILLS, KY 41017
Kenton County (859) 360-6120

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 Tatyana Spears's NPI number?

The NPI number for Tatyana Spears is 1609610674. It was assigned to this individual provider in the NPPES registry on June 24, 2024.

Where is Tatyana Spears located?

Tatyana Spears practices at 10 Town Center Blvd Ste 2, Crestview Hills, KY 41017. The listed phone number is (859) 360-6120.

What is Tatyana Spears's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Tatyana Spears enrolled in Medicare?

Yes. Tatyana Spears is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tatyana Spears was last updated on October 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.