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SPENCER GLENN O'CONNELL
NPI 1104441385
Counselor - Professional in Eugene, OR

Active since June 12, 2020PECOS EnrolledAccepts Medicare Assignment
921 COUNTRY CLUB RD STE 222, EUGENE, OR 97401(541) 686-6000 Get Directions Write a Review

NPPES record last updated: July 22, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 22, 2021, Jun 23, 2021, Jun 12, 2020 (3 updates tracked since 2020).

About Spencer Glenn O'connell NPPES

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

SPENCER GLENN O'CONNELL (NPI 1104441385) is an individual professional provider in Eugene, Oregon, licensed in Oregon (R6275) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1104441385
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameSPENCER GLENN O'CONNELL
Location Address921 COUNTRY CLUB RD STE 222Eugene, OR 97401-2238
Mailing Address921 Country Club Rd Ste 222Eugene, OR 97401-2238 · (541) 686-6000
Phone(541) 686-6000
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJune 12, 2020
Last NPPES UpdateJuly 22, 20213 updates tracked since enumeration
NPPES CertifiedJuly 22, 2021
✔ NPI 1104441385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in OR · R6275
921 COUNTRY CLUB RD STE 222, Eugene, OR 97401
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Other Identifiers 1

Medicaid500792135OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and more.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

Spencer Glenn O'connell 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 ID42751679
PECOS Enrollment IDI20240923001187
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 19

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

SARAH ELIZABETH HALSTEAD
Counselor
921 COUNTRY CLUB RD STE 222
EUGENE, OR 97401
Lane County (541) 686-6000
SHELBY DYER
Counselor (Mental Health)
921 COUNTRY CLUB RD STE 222
EUGENE, OR 97401
Lane County (541) 686-6000
CAROL REXIUS
Marriage & Family Therapist
921 COUNTRY CLUB RD STE 222
EUGENE, OR 97401
Lane County (541) 349-7552
LAURA D NYDIGGER LPC
Counselor (Professional)
921 COUNTRY CLUB RD STE 222
EUGENE, OR 97401
Lane County (541) 686-6000
MR. COREY JAI JACKSON M.A.
Counselor (Professional)
921 COUNTRY CLUB RD STE 222
EUGENE, OR 97401
Lane County (541) 686-6000
TERRY N HOAGLAND
Counselor (Professional)
921 COUNTRY CLUB RD STE 222
EUGENE, OR 97401
Lane County (541) 686-6000
MS. BONNIE THIELKE TEMPLE MA, NCC
Counselor (Mental Health)
921 COUNTRY CLUB RD STE 222
EUGENE, OR 97401
Lane County (541) 686-6000
STEPHEN FOSTER NEET LPC
Counselor (Professional)
921 COUNTRY CLUB RD STE 222
EUGENE, OR 97401
Lane County (541) 686-6000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Spencer O'connell's NPI number?

The NPI number for Spencer O'connell is 1104441385. It was assigned to this individual provider in the NPPES registry on June 12, 2020.

Where is Spencer O'connell located?

Spencer O'connell practices at 921 Country Club Rd Ste 222, Eugene, OR 97401. The listed phone number is (541) 686-6000.

What is Spencer O'connell's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Spencer O'connell enrolled in Medicare?

Yes. Spencer O'connell is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Spencer O'connell accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Spencer O'connell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Spencer O'connell was last updated on July 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.