Joseph M Speers, SUDRC #13883

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

49713 Gorman Post Rd
Gorman, CA 93243-9701

Phone

(661) 724-0001

NPI assigned

Aug 30, 2022

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lake Hughes Recovery Inc.

  • Substance Abuse Rehabilitation Facility
  • Gorman, CA
  • NPI 1184208779
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1661817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1780304733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49713 GORMAN POST RD",
            "city": "GORMAN",
            "state": "CA",
            "postal_code": "932439701",
            "telephone_number": "661-724-0001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49713 GORMAN POST RD",
            "city": "GORMAN",
            "state": "CA",
            "postal_code": "932439701",
            "telephone_number": "661-724-0001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPEERS",
        "first_name": "JOSEPH",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "SUDRC #13883",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-30",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dominique Martin
• Michael Lee McCormick Jr.
• Jibri Jabari Neal
• Ralph Renteria
• Christopher Smith, SUDRC
• Michael Sutton Kieffer
• Ludvin Vallejos Ruano
• Shawn Vargas
• Jinga Dibaji Alene Willis
• Xtreme Medical Inc

• Addiction (Substance Use Disorder) Counselor in Gorman, CA
• Providers in Gorman, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.