Betty Lynn Spering, LISAC, MS

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

LISAC10607 Issued in AZ

Practice address

1701 N Douglas Ave
Douglas, AZ 85607-1019

Phone

(520) 364-1286

Fax

(520) 805-1221

NPI assigned

Sep 27, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Miss Betty Lynn Patterson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124119003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "489 N ARROYO BLVD",
            "city": "NOGALES",
            "state": "AZ",
            "postal_code": "856212644",
            "telephone_number": "520-287-4713",
            "fax_number": "520-287-9794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 N DOUGLAS AVE",
            "city": "DOUGLAS",
            "state": "AZ",
            "postal_code": "856071019",
            "telephone_number": "520-364-1286",
            "fax_number": "520-805-1221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPERING",
        "first_name": "BETTY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LISAC, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "LISAC10607",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS",
            "identifier": "915639",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETTY",
            "last_name": "PATTERSON",
            "middle_name": "LYNN",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Trevor Ivan Shumaker
• Julie Ann Siddens, SLP
• South Eastern Arizona Behavioral Health Services, Inc.
• Southeastern Arizona Behavioral Health Service, Inc
• Southeastern Arizona Behavioral Health Services, Inc.
• Sean Marshall Spurr, D.O.
• Soni Elizabeth Stake, MD
• Maria R Suarez
• Guadalupe G Tapia, LCSW
• Alaine A Taylor, FNP

• All providers in Douglas, AZ
• Addiction (Substance Use Disorder) Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.