EILAKEISHA BEVERLY ANN SPENCER
NPI 1730639865
Counselor - Mental Health in Milton, MA

Q: What is Eilakeisha Spencer's NPI number?

The NPI number for Eilakeisha Spencer is 1730639865. It was assigned to this individual provider in the NPPES registry on October 13, 2016.

Q: What is Eilakeisha Spencer's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Active since October 13, 2016PECOS Enrolled

2 GRANITE AVE STE 260, MILTON, MA 02186(857) 203-7001(857) 588-7708 Get Directions Write a Review

NPPES record last updated: June 12, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Eilakeisha Beverly Ann Spencer NPPES

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

EILAKEISHA BEVERLY ANN SPENCER (NPI 1730639865) is an individual mental health provider in Milton, Massachusetts and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1730639865

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameEILAKEISHA BEVERLY ANN SPENCER

Location Address2 GRANITE AVE STE 260Milton, MA 02186-4381

Mailing Address520 Dudley StRoxbury, MA 02119-2769 · (617) 543-9208

Phone(857) 203-7001

Fax(857) 588-7708

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateOctober 13, 2016

Last NPPES UpdateJune 12, 2026

NPPES CertifiedJune 12, 2026

✔ NPI 1730639865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

Also ListedCounselorTaxonomy 101Y00000X

2 GRANITE AVE STE 260, Milton, MA 02186

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Secondary Practice Locations 2

Location 171 Legion Pkwy Ste 11Brockton, MA 02301-7225 · Phone (857) 400-6071 · Fax (857) 588-7708

Location 2520 Dudley StRoxbury, MA 02119-2769 · Phone (617) 543-9208

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care, Taro 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 (PECOS)

Eilakeisha Beverly Ann Spencer is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4082187018

PECOS Enrollment IDI20260622003252

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 Reassignment

Medicare enrollment records show Eilakeisha Spencer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Inner Mind Development Group, LLC

Same address

Mental Health

2 GRANITE AVE STE 260
Milton, MA 02186

Reassigned Medicare billing, Massachusetts enrollment
3 clinicians in this Medicare group

NPI 1255141636 (857) 203-7001

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 17

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

BRANDI RAMUNNO

Behavior Technician