MRS. SHIRLEY ANN SPENCER M.A. QMHP NPI 1306397666

NPI Information

NPI: 1306397666
Provider Name: MRS. SHIRLEY ANN SPENCER, M.A., QMHP
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

PECOS Registration: Yes

Address:
1200 HILYARD ST
EUGENE, OR
ZIP 97401
Phone: (458) 205-7080
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MRS. Shirley Ann Spencer, M.A., QMHP is a professional counselor in Eugene, OR. MRS. Shirley Ann Spencer, M.A., QMHP NPI is 1306397666. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1200 HILYARD ST
EUGENE, OR
ZIP 97401-122
Phone: (458) 205-7080
Fax: (458) 205-7089

The NPI 1306397666 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 10/20/2016 and was last updated on 3/17/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	T-16-443	OREGON	No
2	101YM0800X	Counselor	Mental Health	R3226	OREGON	No
3	101YP2500X	Counselor	Professional	C4647	OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	500720361	MEDICAID	OREGON
2	500716902	MEDICAID	OREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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