MRS. DOROTHY ANN SPENNER LCPC, LMFT
NPI 1093768756
Counselor - Professional in Eagle, ID

Active since May 17, 2006PECOS EnrolledAccepts Medicare Assignment
136 S ACADEMY AVE, EAGLE, ID 83616(208) 859-7256(208) 939-9110 Get Directions Write a Review

NPPES record last updated: May 1, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mrs. Dorothy Ann Spenner Lcpc, Lmft NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. DOROTHY ANN SPENNER LCPC, LMFT (NPI 1093768756) is an individual professional provider in Eagle, Idaho, licensed in Idaho (LCPC-17) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1980).

NPPES Registry Identity

NPI1093768756
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. DOROTHY ANN SPENNERCredential: LCPC, LMFT
Location Address136 S ACADEMY AVEEagle, ID 83616-6541
Mailing Address136 S Academy AveEagle, ID 83616-6541 · (208) 859-7256 · Fax (208) 939-9110
Fax(208) 939-9110
Sole ProprietorYes
Medical School CMSOtherGraduated 1980
Enumeration DateMay 17, 2006
Last NPPES UpdateMay 1, 2023
NPPES CertifiedMay 1, 2023
NPI 1093768756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in ID · LCPC-17
Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License LMFT 2637 (ID)
136 S ACADEMY AVE, Eagle, ID 83616

Other Identifiers 3

OtherA852428Value Options
Other000010034083ID · Blue Shield
OtherQ4806ID · Bc/bs

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mrs. Dorothy Ann Spenner Lcpc, Lmft is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9436592326
PECOS Enrollment IDI20240207003470
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
136 S ACADEMY AVE, SUITE F
EAGLE, ID 83616
Counselor (Mental Health)
136 S ACADEMY AVE
EAGLE, ID 83616
Counselor (Professional)
136 S ACADEMY AVE
EAGLE, ID 83616
Social Worker
136 S ACADEMY AVE
EAGLE, ID 83616
Counselor (Professional)
136 S ACADEMY AVE
EAGLE, ID 83616
Social Worker
136 S ACADEMY AVE
EAGLE, ID 83616
Counselor (Mental Health)
136 S ACADEMY AVE
EAGLE, ID 83616
Clinic/Center (Mental Health (Including Community Mental Health Center))
136 S ACADEMY AVE
EAGLE, ID 83616

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093768756, enumerated as an "individual" on May 17, 2006.

The provider is located at 136 S ACADEMY AVE EAGLE, ID 83616 and the phone number is (208) 859-7256.

Counselor with taxonomy code 101YP2500X and a focus in Professional.

The provider might be accepting Accepts: PacificSource Health Plans, Medicare, Medicaid and. Please consult your insurance carrier or call the provider to verify.