IndividualActive
Joshua Palmer, A053780219
NPI 1154777084 · Addiction (Substance Use Disorder) Counselor · San Diego, CA
Provider details
- NPI number
- 1154777084
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- A053780219
- Sex
- Male
- Sole proprietor
- Yes
- License
- CO60153206 (WA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
2970 Market St
San Diego, CA 92102-3296
Phone: (619) 236-9492
Street-level locationGet directions
Mailing address
12049 World Trade Dr Unit 2
San Diego, CA 92128-4680
Registry dates
- Enumerated
- 2016-05-10
- Last updated
- 2022-01-25
- Certified
- 2022-01-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.