SPRUCE CREEK COUNSELING, LLC
NPI 1942014055
Community/Behavioral Health in Port Orange, FL

Q: What is Spruce Creek Counseling, LLC's NPI number?

The NPI number for Spruce Creek Counseling, LLC is 1942014055. It was assigned to this organization in the NPPES registry on February 7, 2025.

Q: What is Spruce Creek Counseling, LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Active since February 07, 2025

6069 SPRUCE POINT CIR, PORT ORANGE, FL 32128(240) 818-9499 Get Directions Write a Review

NPPES record last updated: March 4, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 4, 2026, Feb 7, 2025 (2 updates tracked since 2025).

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About Spruce Creek Counseling, Llc NPPES

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

SPRUCE CREEK COUNSELING, LLC (NPI 1942014055) is a healthcare organization registered as a community/behavioral health in Port Orange, Florida and active in the NPI registry since February 2025. The organization maintains a secondary practice location in Port Orange and lists Shannon Marie King, Owner/manager, as its authorized official.

NPPES Registry Identity

NPI1942014055

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameSPRUCE CREEK COUNSELING, LLC

Location Address6069 SPRUCE POINT CIRPort Orange, FL 32128-5508

Mailing Address6069 Spruce Point CirPort Orange, FL 32128-5508 · (240) 818-9499

Phone(240) 818-9499

Organization SubpartNo

Authorized OfficialShannon Marie KingOwner/manager · (240) 818-9499

Enumeration DateFebruary 7, 2025

Last NPPES UpdateMarch 4, 20262 updates tracked since enumeration

NPPES CertifiedMarch 4, 2026

✔ NPI 1942014055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X

6069 SPRUCE POINT CIR, Port Orange, FL 32128

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Secondary Practice Location 1

Location 15889 S Williamson Blvd Ste 1431Port Orange, FL 32128-7499 · Phone (240) 818-9499 · Fax (213) 283-7741

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Spruce Creek Counseling, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Spruce Creek Counseling, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Shannon King, LCSWC

Clinical Social Worker

NPI 1902048176

6069 SPRUCE POINT CIR
Port Orange, FL 32128

(240) 818-9499

✔ PECOS✔ Accepts MedicareSame address

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

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 Spruce Creek Counseling, LLC's NPI number?

The NPI number for Spruce Creek Counseling, LLC is 1942014055. It was assigned to this organization in the NPPES registry on February 7, 2025.

Where is Spruce Creek Counseling, LLC located?

Spruce Creek Counseling, LLC is located at 6069 Spruce Point Cir, Port Orange, FL 32128. The listed phone number is (240) 818-9499.

What is Spruce Creek Counseling, LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Is Spruce Creek Counseling, LLC enrolled in Medicare?

Yes. Spruce Creek Counseling, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Spruce Creek Counseling, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Spruce Creek Counseling, LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Spruce Creek Counseling, LLC was last updated on March 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.