Individual provider Active NPI

Debra Speicher

  • Mental Health Counselor
  • Los Angeles, CA
National Provider Identifier
1821454059
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
94938 Issued in CA
Practice address
1730 W Olympic Blvd
S.300-a
Los Angeles, CA 90015-1019
Phone
(424) 634-1766
NPI assigned
Jan 4, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 94938 CA Primary

Addresses

Primary practice location

1730 W Olympic Blvd
S.300-a
Los Angeles, CA 90015-1019

Mailing address

1730 W Olympic Blvd
S.300-a
Los Angeles, CA 90015-1019
Phone (424) 634-1766

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210504001336 OH Practitioner - Clinical Social Worker 8325457344 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gabriel Group Counseling LLCGroup PAC ID 1759671589, 8 clinicians

Practice addresses (Care Compare)

16600 W Sprague Rd
Suite 245
Cleveland, OH 44130-6319
Phone (440) 523-0370

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
94938CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Partners Physician Group CurrentSince Mar 13, 2026 Accepting new patients
Gabriel Group Counseling, LLC Mental Health CurrentSince Aug 1, 2021 Accepting new patients
Partners Physician Group CurrentSince Mar 13, 2026 Accepting new patients
Sondermind Provider Network LLC CurrentSince Mar 29, 2021 Accepting new patients

Locations

1 Akron General Ave
Akron, OH 44307
Phone (330) 344-5760

20 S 3rd St
Ste 210
Columbus, OH 43215
Phone (614) 208-4973

16600 W Sprague Rd
Ste 245
Middleburg Heights, OH 44130
Phone (440) 523-0370

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1451865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1821454059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 W OLYMPIC BLVD",
            "address_2": "S.300-A",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900151019",
            "telephone_number": "424-634-1766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 W OLYMPIC BLVD",
            "address_2": "S.300-A",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900151019",
            "telephone_number": "424-634-1766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPEICHER",
        "first_name": "DEBRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-04",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "94938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.