Active NPI
Jennifer L Spencer, MS, LIMHP, LADC
- Mental Health Counselor
- North Platte, NE
National Provider Identifier
1154601250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 4325
- Practice address
- 110 N Bailey Ave
North Platte, NE 69101-5436 - Phone
- (308) 534-6029
- Fax
- (308) 534-6961
- NPI assigned
- Aug 19, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 4325 | NE | Primary |
Addresses
Primary practice location
110 N Bailey Ave
North Platte, NE 69101-5436
Mailing address
110 N Bailey Ave
PO Box 1209
North Platte, NE 69101-5436
Phone (308) 534-6029
Other practice location 1
321 E State St
Brady, NE 69123-3043
Phone (402) 917-0334
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- University of Nebraska College of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
120 N Main St
Brady, NE 69123-2749
Phone (402) 917-0334
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1365 | NE | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Graceful Warrior Counseling and Consulting LLC | Mental Health | Current | Accepting new patients |
| Region II Human Services | Past | Accepting new patients |
Locations
120 N Main St
Brady, NE 69123
Phone (402) 917-0334
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Counselor
- Brady, NE
- NPI 1578269957
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- North Platte, NE
- NPI 1013923382
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671062400000",
"number": "1154601250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 N BAILEY AVE",
"address_2": "PO BOX 1209",
"city": "NORTH PLATTE",
"state": "NE",
"postal_code": "691015436",
"telephone_number": "308-534-6029",
"fax_number": "308-534-6961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 N BAILEY AVE",
"city": "NORTH PLATTE",
"state": "NE",
"postal_code": "691015436",
"telephone_number": "308-534-6029",
"fax_number": "308-534-6961"
}
],
"practiceLocations": [
{
"address_1": "321 E State St",
"address_purpose": "LOCATION",
"city": "Brady",
"state": "NE",
"postal_code": "691233043",
"country_code": "US",
"telephone_number": "402-917-0334",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SPENCER",
"first_name": "JENNIFER",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "MS, LIMHP, LADC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-08-19",
"last_updated": "2022-12-15",
"certification_date": "2022-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "4325",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Platte, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.