Spruce Creek Counseling, LLC
NPI 1942014055 · Community/Behavioral Health Agency · Port Orange, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Spruce Creek Counseling, LLC is a Community/Behavioral Health Agency organization in Port Orange, FL (NPI 1942014055).
Provider details
- NPI number
- 1942014055
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Shannon King, Owner/Manager(240) 818-9499
Specialties & taxonomies
Agencies
- Clinical Social Worker1041C0700X
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 5889 S Williamson Blvd Ste 1431Port Orange, FL 32128-7499Phone: (240) 818-9499Fax: (213) 283-7741
Registry dates
- Enumerated
- 2025-02-07
- Last updated
- 2026-03-04
- Certified
- 2026-03-04
Frequently asked questions
- What is Spruce Creek Counseling, LLC's NPI number?
- Spruce Creek Counseling, LLC's National Provider Identifier (NPI) is 1942014055, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Spruce Creek Counseling, LLC?
- Spruce Creek Counseling, LLC is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Spruce Creek Counseling, LLC located?
- Spruce Creek Counseling, LLC's practice location on file with NPPES is 6069 Spruce Point Cir, Port Orange, FL 32128-5508.
- What is Spruce Creek Counseling, LLC's phone number?
- The practice phone number listed in the NPPES registry for Spruce Creek Counseling, LLC is (240) 818-9499.
- Does Spruce Creek Counseling, LLC accept Medicare?
- Spruce Creek Counseling, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Spruce Creek Counseling, LLC?
- The authorized official listed on Spruce Creek Counseling, LLC's NPPES record is Shannon King, Owner/Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Spruce Creek Counseling, LLC's NPI active?
- Yes — Spruce Creek Counseling, LLC's NPI (1942014055) is active in the NPPES registry as of the last update on 2026-03-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.