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MRS. KIMBERLY GILLISPIE SPENCER LPC
NPI 1750301321
Counselor - Mental Health in Mount Airy, NC

Active since July 19, 2006PECOS EnrolledAccepts Medicare Assignment
865 WESTLAKE DR, MOUNT AIRY, NC 27030(336) 719-6100(336) 719-2313 Get Directions Write a Review

NPPES record last updated: August 28, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Kimberly Gillispie Spencer Lpc NPPES

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

MRS. KIMBERLY GILLISPIE SPENCER LPC (NPI 1750301321) is an individual mental health provider in Mount Airy, North Carolina, licensed in North Carolina (3825) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Novant Health Forsyth Medical Center, and maintains a secondary practice location in Mount Airy.

NPPES Registry Identity

NPI1750301321
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. KIMBERLY GILLISPIE SPENCERCredential: LPC
Location Address865 WESTLAKE DRMount Airy, NC 27030-2102
Mailing AddressPo Box 751803Charlotte, NC 28275-1803
Phone(336) 719-6100
Fax(336) 719-2313
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateJuly 19, 2006
Last NPPES UpdateAugust 28, 2024
NPPES CertifiedAugust 28, 2024
✔ NPI 1750301321 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NC · 3825
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 3825 (NC)
865 WESTLAKE DR, Mount Airy, NC 27030
Open in Google Maps ↗

Secondary Practice Location 1

Location 1100 N Pointe BlvdMount Airy, NC 27030-2266 · Phone (336) 789-6267 · Fax (336) 786-4245

Other Identifiers 1

Medicaid6103096NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc.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. Kimberly Gillispie Spencer Lpc 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 ID8426494949
PECOS Enrollment IDI20240306004469
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
18 services18 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Novant Health Forsyth Medical Center

Acute Care Hospitals · Winston-Salem, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340014
Location3333 Silas Creek ParkwayWinston-Salem, NC 27103 · Forsyth County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 4

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

SAVANNAH HODGES NP-C
Nurse Practitioner
865 WESTLAKE DR
MOUNT AIRY, NC 27030
Surry County (336) 719-6100
KARA GRACE MORGAN
Student in an Organized Health Care Education/Training Program
865 WESTLAKE DR
MOUNT AIRY, NC 27030
Surry County (704) 475-2516
FORSYTH MEMORIAL HOSPITAL, INC
Family Medicine
865 WESTLAKE DR
MOUNT AIRY, NC 27030
Surry County (336) 719-6100
DR. SAMANTHA KASEY ANDERSON PT, DPT
Physical Therapist
865 WESTLAKE DR
MOUNT AIRY, NC 27030
Surry County (336) 719-6165

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 Kimberly Spencer's NPI number?

The NPI number for Kimberly Spencer is 1750301321. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Where is Kimberly Spencer located?

Kimberly Spencer practices at 865 Westlake Dr, Mount Airy, NC 27030. The listed phone number is (336) 719-6100.

What is Kimberly Spencer's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Kimberly Spencer enrolled in Medicare?

Yes. Kimberly Spencer 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 Kimberly Spencer accept?

Health plans from Blue Cross and Blue Shield of NC and Oscar Health Plan of North Carolina, Inc list Kimberly Spencer 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.

Is Kimberly Spencer affiliated with any hospitals?

According to CMS data, Kimberly Spencer is affiliated with Novant Health Forsyth Medical Center.

When was this NPI record last updated?

The NPPES record for Kimberly Spencer was last updated on August 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.