Active NPI
Deana M Spencer, LH60695140
- Mental Health Counselor
- Spokane Valley, WA
National Provider Identifier
1275925661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LH60695140
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CO60452219 | WA | MD | Addiction (Substance Use Disorder) Counselor |
| LH60695140 | WA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Native Project | Addiction (Substance Use Disorder) | Current | Accepting new patients |
Locations
1803 W Maxwell Ave
Spokane, WA 99201
Phone (509) 325-5502
Interoperability endpoints
- 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.
-
- Federally Qualified Health Center (FQHC)
- Spokane, WA
- NPI 1326123670
Addiction (Substance Use Disorder)
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.