MR. KYLE SPENCER LMFT
NPI 1952261034
Marriage & Family Therapist in Bryan, TX

Active since November 12, 2025Opted out of Medicare · through Mar 6, 2028
2490 BOONVILLE RD STE 210, BRYAN, TX 77808(979) 703-1808 Get Directions Write a Review

NPPES record last updated: November 12, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Kyle Spencer Lmft NPPES

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

MR. KYLE SPENCER LMFT (NPI 1952261034) is an individual marriage & family therapist in Bryan, Texas, licensed in Texas (203908) and active in the NPI registry since November 2025. He has opted out of Medicare through March 6, 2028.

NPPES Registry Identity

NPI1952261034
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameMR. KYLE SPENCERCredential: LMFT
Location Address2490 BOONVILLE RD STE 210Bryan, TX 77808-2327
Mailing Address4302 Egremont PlCollege Station, TX 77845-3212 · (979) 220-4469
Sole ProprietorYes
Enumeration DateNovember 12, 2025
NPPES CertifiedNovember 12, 2025
NPI 1952261034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License Licensed in TX · 203908
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
2490 BOONVILLE RD STE 210, Bryan, TX 77808

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Mr. Kyle Spencer Lmft has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 6, 2024 through March 6, 2028.

Opt-Out Effective DateMarch 6, 2024
Opt-Out In Effect ThroughMarch 6, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Kyle Spencer's NPI number?

The NPI number for Kyle Spencer is 1952261034. It was assigned to this individual provider in the NPPES registry on November 12, 2025.

Where is Kyle Spencer located?

Kyle Spencer practices at 2490 Boonville Rd Ste 210, Bryan, TX 77808. The listed phone number is (979) 703-1808.

What is Kyle Spencer's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Kyle Spencer enrolled in Medicare?

No. Kyle Spencer has opted out of Medicare through March 6, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Kyle Spencer was last updated on November 12, 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.