DR. SPENCER D. BRADSHAW (NPI# 1790288934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790288934 |
| Entity Type | Individual |
| Full Name | DR. SPENCER D. BRADSHAW |
| Credential | LMFTA, PHD |
| Practice Address |
8200 Nashville Ave Lubbock TX 79423-1906 |
| Mailing Address |
321 Longhorn Blvd Wolfforth TX 79382-5315 |
| Practice Telephone | 8014506936 |
| Mailing Telephone | 8014506936 |
| Enumeration Date | 2018-03-14 |
| Last Update Date | 2018-03-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 201891 | TX | Behavioral Health & Social Service Providers |
| Street Address |
8200 NASHVILLE AVE |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79423-1906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174734040 | Thomas Griff Kimball | Marriage & Family Therapist | 8200 Nashville Ave, Lubbock, TX 79423-1906 | 2007-05-24 |
| 1174758213 | Jason B Whiting | Marriage & Family Therapist | 8200 Nashville Ave, Suite 203, Lubbock, TX 79423-1906 | 2009-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427674399 | Nicole Lynn Rosteski | Student in an Organized Health Care Education/Training Program | 3101 96th St, Lubbock, TX 79423 | 2020-06-17 |
| 1003399742 | Patricia Marshel Price | Licensed Vocational Nurse | 1520 B 82nd, Lubbock, TX 79423 | 2018-09-10 |
| 1386123115 | Ashley Nichole Avalos | Licensed Vocational Nurse | 19109 County Road 2400, Lubbock, TX 79423 | 2018-08-13 |
| 1407380587 | Karmen Adkins Neal | Counselor | 2574 74th Street, Suite 213, Lubbock, TX 79423 | 2017-04-17 |
| 1275992570 | Wal-mart Stores Texas, LLC | Technician/Technologist | 11415 Quaker Avenue, Lubbock, TX 79423 | 2016-02-15 |
| 1942679535 | Shena Smith | Psychologist | 2034 82nd St Unit 103, Lubbock, TX 79423 | 2015-09-24 |
| 1306263058 | Shelley Lee Ma, Lpc, PC | Counselor | 8200 Nahville, Suite 208, Lubbock, TX 79423 | 2014-03-19 |
| 1275893489 | Stacie Lynn Neffendorf | Speech-Language Pathologist | 3417 73rd St Ste N, Lubbock, TX 79423 | 2012-05-22 |
| 1932467230 | Debbie D Hearn | Point of Service | 8200 Nashville Ave. Suite #202, Lubbock, TX 79423 | 2012-04-25 |
| 1801163555 | Angel Laumbach-kirk | Occupational Therapist | 15304 County Road 2160, Lubbock, TX 79423 | 2011-11-23 |
| Find all providers in zip 79423 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851915326 | Mazie Zielinski | Marriage & Family Therapist | 9305 Utica Dr, Lubbock, TX 79424-4821 | 2020-06-01 |
| 1871128066 | Claire Eggleston | Marriage & Family Therapist | 6963 22nd Pl, Lubbock, TX 79407-1313 | 2020-03-08 |
| 1962045682 | Alex Theobald | Marriage & Family Therapist | 165 Human Sciences Building, Akron St., Lubbock, TX 79409-7940 | 2019-10-25 |
| 1316420102 | Neli Morris | Marriage & Family Therapist | 8212 Ithaca Ave Ste E7c, Lubbock, TX 79423-2633 | 2018-09-08 |
| 1306328927 | Jaclyn Danielle Cravens Pickens | Marriage & Family Therapist | 8212 Ithaca Ave Ste E12, Lubbock, TX 79423-2615 | 2018-08-30 |
| 1760904437 | Lynn Whitfield | Marriage & Family Therapist | 4913 S Loop 289 Ste 100, Lubbock, TX 79424-1630 | 2017-07-13 |
| 1427585728 | Cynthia Dsauza | Marriage & Family Therapist | 4010 82nd St Ste 105, Lubbock, TX 79423-1956 | 2017-05-17 |
| 1144681966 | Randy Porter | Marriage & Family Therapist | 1924 Broadway, Lubbock, TX 79401-3018 | 2016-03-08 |
| 1861882219 | Sterling Shumway | Marriage & Family Therapist | 9103 Huron Ave, Lubbock, TX 79424-7841 | 2015-01-23 |
| 1780967943 | Kimberly Ann Kerksiek | Marriage & Family Therapist | 7606 University Ave, Suite B-3, Lubbock, TX 79423-2155 | 2011-09-23 |
| Find all providers in LUBBOCK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.