| 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 | Elizabeth Walden-fisher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730744525 PECOS PAC ID: 4385015403 Enrollment ID: I20230126003113 |
| 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 |
Dr. Katy Kopp Miller, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 W 7th St Ste 108, Bloomington, IN 47404 Phone: 765-425-3412 | |
Diane Menke Pence, Lmhc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 N College Ave, Ste 613, Bloomington, IN 47404 Phone: 812-333-3440 Fax: 812-333-3444 | |
Huts Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2801 E Plateau Place, Bloomington, IN 47401 Phone: 804-386-9216 Fax: 804-464-1483 | |
Bloomington Meadows Physicians Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3600 N Prow Rd, Bloomington, IN 47404 Phone: 812-331-8000 Fax: 812-331-8985 | |
Angela R Marshall Psyd Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2525 W Vernal Pike, Bloomington, IN 47404 Phone: 812-345-5114 Fax: 812-339-0369 | |
New Outlook Counseling Center Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5010 N Stone Mill Rd, Suite B, Bloomington, IN 47408 Phone: 812-929-2193 Fax: 888-789-8394 | |
Leah Sinn Iversen Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 518 N Colony Ct, Bloomington, IN 47408 Phone: 812-320-2017 |