Wanda Lynn Spencer, ED.S.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

11507 Issued in TN

Practice address

100 1St Ave SW
Suite 202 C
Winchester, TN 37398

Phone

(931) 361-1333

NPI assigned

Apr 2, 2009

Last updated

Apr 21, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Wanda Denton Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1238630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492732800000",
    "number": "1013159169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 1ST AVE SW",
            "address_2": "SUITE 202 C",
            "city": "WINCHESTER",
            "state": "TN",
            "postal_code": "37398",
            "telephone_number": "931-636-7411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 1ST AVE SW",
            "address_2": "SUITE 202 C",
            "city": "WINCHESTER",
            "state": "TN",
            "postal_code": "37398",
            "telephone_number": "931-361-1333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "WANDA",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "ED.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-02",
        "last_updated": "2017-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "11507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WANDA",
            "last_name": "DENTON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Southern Tennessee Medical Center LLC (Highpoint Health - Winchester with Ascension Saint Thomas)
• Southern Tennessee Medical Center LLC (Highpoint Health - Winchester with Ascension Saint Thomas)
• Southern Tennessee Medical Center LLC (Highpoint Health - Winchester with Ascension Saint Thomas)
• Southern Tennessee Radiology
• Gena Lauren Southern, RN
• State of Tennessee (Franklin County Health Department)
• James Gilbert Stensby, MD
• Jessica Bernadette Stensby, M.D.
• Ginny Stluka, PHARM.D.
• Lisa Renee Stone, CRNP

• Mental Health Counselor in Winchester, TN
• Providers in Winchester, TN by specialty
• Mental Health Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.