JEREMIAH SPEARS JR. (NPI# 1487266441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487266441 |
| Entity Type | Individual |
| Full Name | JEREMIAH SPEARS JR. |
| Practice Address |
1121 E Mcnichols Rd Detroit MI 48203-2857 |
| Mailing Address |
18687 Hubbell St Detroit MI 48235-2755 |
| Practice Telephone | 3133653100 |
| Mailing Telephone | 3137789273 |
| Enumeration Date | 2020-08-20 |
| Last Update Date | 2020-08-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | MI | Other Service Providers |
| Street Address |
1121 E MCNICHOLS RD |
| City | DETROIT |
| State | MI |
| Zip Code | 48203-2857 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043302730 | John Lewis Eberhart | Counselor | 1121 E Mcnichols Rd, Detroit, MI 48203-2857 | 2006-09-29 |
| 1740892603 | Sheena Talanya Dalton | Peer Specialist | 1121 E Mcnichols Rd, Detroit, MI 48203-2857 | 2020-08-20 |
| 1467060368 | Diane Lassiter | Peer Specialist | 1121 E Mcnichols Rd, Detroit, MI 48203-2857 | 2020-07-16 |
| 1487262580 | Kenneth Mccoy | Peer Specialist | 1121 E Mcnichols Rd, Detroit, MI 48203-2857 | 2020-07-15 |
| 1780220632 | Mary Margaret Fleury | Peer Specialist | 1121 E Mcnichols Rd, Detroit, MI 48203-2857 | 2019-11-25 |
| 1992341846 | Roberta Wilson | Specialist | 1121 E Mcnichols Rd, Detroit, MI 48203-2857 | 2019-11-25 |
| 1255977104 | Debra Roberts | Peer Specialist | 1121 E Mcnichols Rd, Detroit, MI 48203-2857 | 2019-11-25 |
| 1952947806 | Dwayne Frank Muhammad | Peer Specialist | 1121 E Mcnichols Rd, Detroit, MI 48203-2857 | 2019-11-25 |
| 1821633371 | April Marie Doss | Counselor | 1121 E Mcnichols Rd, Detroit, MI 48203-2857 | 2019-11-07 |
| 1962046896 | Jovon Burkes | Peer Specialist | 1121 E Mcnichols Rd, Detroit, MI 48203-2857 | 2019-11-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992355135 | James Calloway | Peer Specialist | 1211 E Mcnichols, Detroit, MI 48203 | 2019-09-19 |
| 1851868582 | Community Veterans Services Inc | Counselor | 163 Tennyson, Highland Park, MI 48203 | 2018-10-31 |
| 1346601838 | Rainbow Center of Michigan | Health Maintenance Organization | 12501 Hamilton Ave., Highland Park, MI 48203 | 2016-03-11 |
| 1134502354 | Minds Moving In New Directions Inc | Community/Behavioral Health | 62 Massachusetts St, Highland Park, MI 48203 | 2015-07-07 |
| 1811312937 | Brea Holloway | Home Health | 20249 Yacama Rd, Detroit, MI 48203 | 2014-02-26 |
| 1770821795 | St John Providence Health Systems | Community/Behavioral Health | 1150 Lantz St, Detroit, MI 48203 | 2013-01-25 |
| 1871845412 | Waneta Darcell Dickerson | Social Worker | 169 W. Buena Vista, Highlandpark, MI 48203 | 2012-10-05 |
| 1629331939 | Maureen Connolly | Pediatrics | 77 Victor St, Highland Park, MI 48203 | 2012-06-21 |
| 1578850251 | Detroit Recovery Project | Community/Behavioral Health | 1121 East Mc Nichols, Detroit, MI 48203 | 2011-07-01 |
| 1265728414 | Barbara Suzanne Tyson | Home Health | 301 Glendale St, Apt B8, Highland Park, MI 48203 | 2011-06-27 |
| Find all providers in zip 48203 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992355135 | James Calloway | Peer Specialist | 1211 E Mcnichols, Detroit, MI 48203 | 2019-09-19 |
| 1790331536 | Bridgett Darcell Scott | Peer Specialist | 1121 E 6 Mile Rd, Detroit, MI 48203-2857 | 2019-08-16 |
| 1932669827 | Donald Brown | Peer Specialist | 18582 Goddard St, Detroit, MI 48234-1319 | 2019-03-25 |
| 1710463880 | Felicia Greene | Peer Specialist | 3542 Fairview St, Detroit, MI 48214-3539 | 2018-07-12 |
| 1033603998 | Tonya Patrice Miller-cherry | Peer Specialist | 1423 Field St # 5, Detroit, MI 48214-2321 | 2018-06-14 |
| 1831612662 | Heidi L Brinkley | Peer Specialist | 5575 Conner St Ste 204b, Detroit, MI 48213-6401 | 2017-07-24 |
| 1588067383 | Katrina Baldwin | Peer Specialist | 11668 Montrose St, Detroit, MI 48227-1758 | 2014-10-07 |
| 1700498771 | Darryl Angelo Walker | Peer Specialist | 1145 W Grand Blvd, Detroit, MI 48208-2336 | 2020-08-20 |
| 1740892603 | Sheena Talanya Dalton | Peer Specialist | 1121 E Mcnichols Rd, Detroit, MI 48203-2857 | 2020-08-20 |
| 1467060368 | Diane Lassiter | Peer Specialist | 1121 E Mcnichols Rd, Detroit, MI 48203-2857 | 2020-07-16 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.