IndividualActive
Gregory Macdonald
NPI 1104077296 · Addiction (Substance Use Disorder) Counselor · Creve Coeur, MO
Provider details
- NPI number
- 1104077296
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 101YA0400X (HI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
12647 Olive Blvd
Spectrum Healthcare Resources
Creve Coeur, MO 63141
Phone: (800) 325-3982
Fax: (877) 685-9866
Street-level locationGet directions
Mailing address
12647 Olive Blvd
Creve Coeur, MO 63141
Registry dates
- Enumerated
- 2008-10-07
- Last updated
- 2008-10-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.