| Jennifer Spencer Phd Hspp Pc | |
|
482 S Landmark Ave Bloomington IN 47403-5000 | |
| (812) 333-8474 | |
| (812) 961-3804 |
| Full Name | Jennifer Spencer Phd Hspp Pc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 482 S Landmark Ave, Bloomington, Indiana |
| Authorized Official Name and Position | Jennifer Michael Spencer (PSYCHOLOGIST/OWNER) |
| Authorized Official Contact | 8123338474 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Spencer Phd Hspp Pc 482 S Landmark Ave Bloomington IN 47403-5000 Ph: (812) 333-8474 | Jennifer Spencer Phd Hspp Pc 482 S Landmark Ave Bloomington IN 47403-5000 Ph: (812) 333-8474 |
| NPI Number | 1932331345 |
|---|---|
| Provider Enumeration Date | 08/18/2009 |
| Last Update Date | 10/13/2023 |
| Certification Date | 10/13/2023 |
| Medicare PECOS PAC ID | 0244384758 |
|---|---|
| Medicare Enrollment ID | O20090819000002 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932331345 | NPI | - | NPPES |
| 200298330 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 20041405 (Indiana) | Primary |
| Provider Name | Jennifer Michael Spencer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1003828880 PECOS PAC ID: 9739158601 Enrollment ID: I20040928000388 |
| Provider Name | Terrie L Vannatta |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1740230465 PECOS PAC ID: 9032163035 Enrollment ID: I20101028001064 |
| Provider Name | Laura L Swinford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144629544 PECOS PAC ID: 0840512406 Enrollment ID: I20141210000152 |
| Provider Name | Leslie C Ruiz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992040810 PECOS PAC ID: 4183995343 Enrollment ID: I20170807000303 |
| Provider Name | Brianna D Underhill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346751328 PECOS PAC ID: 9234405572 Enrollment ID: I20171101000273 |
| Provider Name | Daisy Day Anspach |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942845078 PECOS PAC ID: 4183010275 Enrollment ID: I20220329001017 |
| Provider Name | Colte Davis Sanders |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417528514 PECOS PAC ID: 2668868696 Enrollment ID: I20220331000323 |
| Provider Name | Naomi Rose Koeplin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750042800 PECOS PAC ID: 7719363662 Enrollment ID: I20220930001049 |
| Provider Name | Kelli Renee Deckard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144922915 PECOS PAC ID: 8426414491 Enrollment ID: I20230517000803 |
| Provider Name | Sarah Elizabeth Gearing |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538867528 PECOS PAC ID: 4183082969 Enrollment ID: I20230627001323 |
| Provider Name | Audrey E Beard |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255971008 PECOS PAC ID: 3476901950 Enrollment ID: I20231121003355 |
| Provider Name | Judith Ann Wiser |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144845405 PECOS PAC ID: 2567810005 Enrollment ID: I20231122001330 |
| Provider Name | Mindi Wisker-tindall |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871029983 PECOS PAC ID: 3971951344 Enrollment ID: I20231122002804 |
| Provider Name | Tiffany Leonard |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821313834 PECOS PAC ID: 8628426657 Enrollment ID: I20231130002402 |
| Provider Name | Brianna Ruth Swenson-brack |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225375546 PECOS PAC ID: 4981052701 Enrollment ID: I20231204002839 |
| Provider Name | Sonila D Zajmi |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356978365 PECOS PAC ID: 4486002268 Enrollment ID: I20231205001424 |
| Provider Name | Margaret Mary Lewis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699117770 PECOS PAC ID: 0840649463 Enrollment ID: I20231207003701 |
| Provider Name | David Nikolai Aronoff |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124795406 PECOS PAC ID: 4880038660 Enrollment ID: I20240220003509 |
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