Active NPI
Penny Sue Spearing, MA, LPC
- Community/Behavioral Health Agency
- Pueblo, CO
National Provider Identifier
1801012364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 4189
- Practice address
- 940 Clover LN
Pueblo, CO 81006-2068 - Phone
- (719) 553-8386
- NPI assigned
- Apr 17, 2007
- 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 |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 4189 | CO | Primary |
Addresses
Primary practice location
940 Clover LN
Pueblo, CO 81006-2068
Mailing address
940 Clover LN
Pueblo, CO 81006-2068
Phone (719) 553-8386
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4189 | CO | MD | Hand Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355270400000",
"number": "1801012364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "940 CLOVER LN",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810062068",
"telephone_number": "719-553-8386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "940 CLOVER LN",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810062068",
"telephone_number": "719-553-8386"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPEARING",
"first_name": "PENNY",
"middle_name": "SUE",
"name_prefix": "Mrs.",
"credential": "MA, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-17",
"last_updated": "2012-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "CO",
"license": "4189",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pueblo, CO
- Spanish Peaks New Alternatives, Inc. (Perry Hall PC)
- Lynda A Spann, PH.D.
- Sparks of Light Psychotherapy, PLLC
- Sparks Residential and Support Services, Inc
- Melissa R. Sparks, PTA
- Specialized Inpatient Medical Services, LLC
- Spectrum of Light Family Services, LLC
- Spectrum of Light Home Care, LLC
- Spectrum of Light Home Care, LLC
- Speech-Language and Assistive Technology Services LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.