Jennifer Spencer PHD HSPP PC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

20041405 Issued in IN

Legal business name

JENNIFER SPENCER PHD HSPP PC

Practice address

482 S Landmark Ave
Bloomington, IN 47403-5000

Phone

(812) 333-8474

Fax

(812) 961-3804

NPI assigned

Aug 18, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Jennifer Michael Spencer, PHD HSPPNPI 1003828880

Title

Psychologist/Owner

Phone

(812) 333-8474

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daisy Day Anspach, LCSW

  • Clinical Social Worker
  • Bloomington, IN
  • NPI 1942845078
  Medicare reassignment Care Compare group NPD
• Audrey E Beard, LMHC

  • Mental Health Counselor
  • Bloomington, IN
  • NPI 1255971008
  Medicare reassignment Care Compare group NPD
• Kelli Renee Deckard, LCSW

  • Clinical Social Worker
  • Bloomington, IN
  • NPI 1144922915
  Medicare reassignment Care Compare group NPD
• Linda S Kranitz, PHD, HSPP

  • Psychologist
  • Bloomington, IN
  • NPI 1710203476
  Medicare reassignment Care Compare group NPD
• Leslie C Ruiz, LCSW

  • Clinical Social Worker
  • Bloomington, IN
  • NPI 1992040810
  Medicare reassignment Care Compare group NPD
• Jennifer Michael Spencer, PHD HSPP

  • Counseling Psychologist
  • Bloomington, IN
  • NPI 1003828880
  Medicare reassignment NPD Authorized official
• Judith Ann Wiser, LMHC

  • Mental Health Counselor
  • Bloomington, IN
  • NPI 1144845405
  Medicare reassignment Care Compare group NPD
• Mindi Wisker-Tindall, LMHC, LCPC

  • Mental Health Counselor
  • Bloomington, IN
  • NPI 1871029983
  Medicare reassignment Care Compare group NPD
• Sonila D Zajmi, LMHC

  • Mental Health Counselor
  • Bloomington, IN
  • NPI 1356978365
  Medicare reassignment Care Compare group NPD
• Robert Lee

  • Psychologist
  • Exton, PA
  • NPI 1992102602

  IN

  Medicare reassignment Care Compare group NPD
• Lexie D Carlson-Wheat, LMHC

  • Mental Health Counselor
  • Bloomington, IN
  • NPI 1093565491
  Medicare reassignment NPD
• Brianna Danae Cha, LCSW

  • Clinical Social Worker
  • Bloomington, IN
  • NPI 1346751328
  Medicare reassignment NPD

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

{
    "created_epoch": "1250553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697155200000",
    "number": "1932331345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "482 S LANDMARK AVE",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474035000",
            "telephone_number": "812-333-8474",
            "fax_number": "812-961-3804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "482 S LANDMARK AVE",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474035000",
            "telephone_number": "812-333-8474",
            "fax_number": "812-961-3804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER SPENCER PHD HSPP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-18",
        "last_updated": "2023-10-13",
        "certification_date": "2023-10-13",
        "status": "A",
        "authorized_official_last_name": "SPENCER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "812-333-8474",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD HSPP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IN",
            "license": "20041405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200298330",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jean Paul Etienne, OD, PC
• Jason Gerard Jedlicka, O.D.
• Kimberly Dawn Jedlicka, O.D.
• Clayton Jenkins
• Jennifer Richards LLC
• Jennifer Steinmetz MSW LLC
• Amy Beth Jensen, WRAPAROUND
• Ronald C Jenson, DO
• Jerry Michael Jesseph
• John Paul Jesseph, M.D.

• Community/Behavioral Health Agency in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Community/Behavioral Health Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.