Active NPI
Joel Porter, CADC
- Addiction (Substance Use Disorder) Counselor
- Fremont, CA
National Provider Identifier
1174804306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- C053330518
- Practice address
- 37437 Glenmoor Dr
Fremont, CA 94536-5731 - Phone
- (510) 713-3200
- Fax
- (510) 713-0684
- NPI assigned
- Sep 1, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | C053330518 | CA | Primary |
Addresses
Primary practice location
37437 Glenmoor Dr
Fremont, CA 94536-5731
Mailing address
4510 Peralta Blvd
Suite 1
Fremont, CA 94536-5755
Phone (510) 713-3202
Other practice location 1
531 24th St
Oakland, CA 94612-1721
Phone (510) 839-2525
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C053330518 | Other | CA | CCAPP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C053330518 | CA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carneles Unidos Reformando Adictos Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Substance Abuse Rehabilitation Facility
- Oakland, CA
- NPI 1528240959
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752451200000",
"number": "1174804306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4510 PERALTA BLVD",
"address_2": "SUITE 1",
"city": "FREMONT",
"state": "CA",
"postal_code": "945365755",
"telephone_number": "510-713-3202",
"fax_number": "510-713-0684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37437 GLENMOOR DR",
"city": "FREMONT",
"state": "CA",
"postal_code": "945365731",
"telephone_number": "510-713-3200",
"fax_number": "510-713-0684"
}
],
"practiceLocations": [
{
"address_1": "531 24th St",
"address_purpose": "LOCATION",
"city": "Oakland",
"state": "CA",
"postal_code": "946121721",
"country_code": "US",
"telephone_number": "510-839-2525",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PORTER",
"first_name": "JOEL",
"name_prefix": "Mr.",
"credential": "CADC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-09-01",
"last_updated": "2025-07-14",
"certification_date": "2025-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "C053330518",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CCAPP",
"identifier": "C053330518",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fremont, CA
- Preslli Celine Ponce
- Vimala Meghana Ponna Suri, DO
- Swathi Ponugoti, DDS
- Mimy Poon
- Camille Porteous
- Portia Bell Hume Behavioral Health and Training Center
- Portia Bell Hume Behavioral Health and Training Center
- Portia Bell Hume Behavioral Health and Training Center
- Portia Bell Hume Behavioral Health and Training Center
- Portia Bell Hume Behavioral Health and Training Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.