Individual provider Active NPI

Deana M Spencer, LH60695140

  • Mental Health Counselor
  • Spokane Valley, WA
National Provider Identifier
1275925661
Registry record updated Jul 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH60695140 Issued in WA
Practice address
15714 E Valleyway Ave
Spokane Valley, WA 99037-9583
Phone
(509) 671-5278
NPI assigned
Feb 23, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH60695140 WA Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X CO60452219 WA

Addresses

Primary practice location

15714 E Valleyway Ave
Spokane Valley, WA 99037-9583

Mailing address

11651 Westside Calispell Rd
Usk, WA 99180-9764
Phone (509) 447-7402

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240409001739 WA Practitioner - Mental Health Counselor 0941611149 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CO60452219WAMDAddiction (Substance Use Disorder) Counselor
LH60695140WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Native Project Addiction (Substance Use Disorder) CurrentSince Mar 4, 2024 Accepting new patients

Locations

1803 W Maxwell Ave
Spokane, WA 99201
Phone (509) 325-5502

Interoperability endpoints

  • Direct secure messaging: dspencer@nativeproject.directbygreenway.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1424649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563408000000",
    "number": "1275925661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11651 WESTSIDE CALISPELL RD",
            "city": "USK",
            "state": "WA",
            "postal_code": "991809764",
            "telephone_number": "509-447-7402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15714 E VALLEYWAY AVE",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "990379583",
            "telephone_number": "509-671-5278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "DEANA",
        "middle_name": "M",
        "credential": "LH60695140",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-23",
        "last_updated": "2019-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60695140",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CO60452219",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane Valley, WA

Sources for this page

Verify at the official NPI Registry.