Active NPI
Spero Klonis, LCDC
- Addiction (Substance Use Disorder) Counselor
- Houston, TX
National Provider Identifier
1245968593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 11432
- Practice address
- 14602 Presidio Square Blvd
Houston, TX 77083-1654 - Phone
- (281) 895-3270
- NPI assigned
- Aug 12, 2022
- 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 | 11432 | TX | Primary |
Addresses
Primary practice location
14602 Presidio Square Blvd
Houston, TX 77083-1654
Mailing address
14602 Presidio Square Blvd
Houston, TX 77083-1654
Phone (281) 895-3270
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00000000000 | Medicaid | TX | |
| 1811641095 | Medicaid | TX |
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 |
|---|---|---|---|
| 11432 | TX | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660262400000",
"number": "1245968593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14602 PRESIDIO SQUARE BLVD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770831654",
"telephone_number": "281-895-3270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14602 PRESIDIO SQUARE BLVD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770831654",
"telephone_number": "281-895-3270"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLONIS",
"first_name": "SPERO",
"credential": "LCDC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-08-12",
"last_updated": "2022-08-12",
"certification_date": "2022-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TX",
"license": "11432",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00000000000",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1811641095",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.