SPENCER E SHOTLEY LADC, CADC III
NPI 1740560804
Counselor - Addiction (Substance Use Disorder) in Cass Lake, MN

Q: What is Spencer Shotley's NPI number?

The NPI number for Spencer Shotley is 1740560804. It was assigned to this individual provider in the NPPES registry on August 22, 2011.

Q: What is Spencer Shotley's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Spencer Shotley was last updated on August 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since August 22, 2011

115 6TH STREET NW, CASS LAKE, MN 56633(218) 760-9257 Get Directions Write a Review

NPPES record last updated: August 22, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Spencer E Shotley Ladc, Cadc Iii NPPES

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

SPENCER E SHOTLEY LADC, CADC III (NPI 1740560804) is an individual addiction (substance use disorder) provider in Cass Lake, Minnesota, licensed in Minnesota (302091) and active in the NPI registry since August 2011.

NPPES Registry Identity

NPI1740560804

Entity TypeIndividualMale

Primary Taxonomy101YA0400X

Provider Legal NameSPENCER E SHOTLEYCredential: LADC, CADC III

Location Address115 6TH STREET NWCass Lake, MN 56633

Mailing Address115 6th Street NwCass Lake, MN 56633 · (218) 760-9257

Phone(218) 760-9257

Sole ProprietorYes

Enumeration DateAugust 22, 2011

✔ NPI 1740560804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in MN · 302091

115 6TH STREET NW, Cass Lake, MN 56633

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Other Providers at the Same Location NPPES 2

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

MS. KAREN LEE STOKES LADC, LPCC

Counselor (Mental Health)

115 6TH STREET NW
CASS LAKE, MN 56633

Cass County (218) 335-8276

LEECH LAKE BAND OF OJIBWE

Community/Behavioral Health

115 6TH STREET NW
CASS LAKE, MN 56633

Cass County (218) 335-8273

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 Shotley's NPI number?

The NPI number for Spencer Shotley is 1740560804. It was assigned to this individual provider in the NPPES registry on August 22, 2011.

Where is Spencer Shotley located?

Spencer Shotley practices at 115 6th Street NW, Cass Lake, MN 56633. The listed phone number is (218) 760-9257.

What is Spencer Shotley's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Spencer Shotley was last updated on August 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.