Individual provider Active NPI

Brian Edward Speese, B.A.,QMHP

  • Addiction (Substance Use Disorder) Counselor
  • Durham, NC
National Provider Identifier
1801238225
Registry record updated Jul 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
MHL-032-565 Issued in NC
Practice address
123 W Main St
Suite M-01
Durham, NC 27701-3694
Phone
(919) 530-8888
Fax
(919) 530-1011
NPI assigned
Jul 26, 2013
Last updated
Jul 26, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X MHL-032-565 NC Primary

Addresses

Primary practice location

123 W Main St
Suite M-01
Durham, NC 27701-3694

Mailing address

123 W Main St
Suite M-01
Durham, NC 27701-3694
Phone (919) 530-8888

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
Credentials
Bachelor of Arts

State licenses

LicenseStateTypeSpecialty
MHL-032-565NCMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1374796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374796800000",
    "number": "1801238225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 W MAIN ST",
            "address_2": "SUITE M-01",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277013694",
            "telephone_number": "919-530-8888",
            "fax_number": "919-530-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 W MAIN ST",
            "address_2": "SUITE M-01",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277013694",
            "telephone_number": "919-530-8888",
            "fax_number": "919-530-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPEESE",
        "first_name": "BRIAN",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "B.A.,QMHP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-26",
        "last_updated": "2013-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "MHL-032-565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2013; 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.