Patrick Nicholas Speake

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

2225 Gable Rd
Saint Helens, OR 97051-3005

Phone

(971) 203-0214

NPI assigned

Mar 18, 2024

Sex

Male

Sole proprietor

No

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.

• Columbia Community Mental Health

  • Multi-Specialty Clinic/Center
  • Saint Helens, OR
  • NPI 1295449288
  NPD
• Columbia Community Mental Health

  • Addiction (Substance Use Disorder) Counselor
  • Saint Helens, OR
  • NPI 1477267466
  NPD

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 18, 2024.

{
    "created_epoch": "1710720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1801655170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58646 MCNULTY WAY",
            "city": "SAINT HELENS",
            "state": "OR",
            "postal_code": "970516210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 GABLE RD",
            "city": "SAINT HELENS",
            "state": "OR",
            "postal_code": "970513005",
            "telephone_number": "971-203-0214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPEAKE",
        "first_name": "PATRICK",
        "middle_name": "NICHOLAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-03-18",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Garrett Smoker
• Heather May Sorber, N.D.
• Victoria Ann Sound, RPH
• Janice June Southern, MSW
• Talisha Ann Sowvlen
• Jordan Javon Spino
• Spring Meadows
• Kathleen Spurling, FNP-C
• St. Helens Dental Care
• Brooke Leigh Stafford, BS

• All providers in Saint Helens, OR
• Peer Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.