Star Cannon, CADC II, ICADC, MATS

Individual Active
NPI 1265508311
Peer Specialist Carmichael, CA

NPI 1265508311 belongs to Star Cannon, CADC II, ICADC, MATS, a peer specialist with a practice location in Carmichael, CA. The NPI was issued on November 28, 2006, and the record was last updated in NPPES on May 23, 2025. The record lists 5 taxonomy codes. One additional practice location is listed.

Taxonomies and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000X Not listed
Community Health Worker 172V00000X Not listed
Case Manager/Care Coordinator 171M00000X Not listed
Addiction (Substance Use Disorder) Counselor 101YA0400X Not listed
Addiction (Substance Use Disorder) Counselor 101YA0400X (CA)

Practice locations

3637 Mission Ave Bldg B
Carmichael, CA 95608-2946
Phone: (916) 485-4175
3628 Madison Ave Ste 7
North Highlands, CA 95660-5070
Phone: (916) 388-3231

Local context

Active NPPES records list 348 providers with peer specialist as the primary taxonomy within 25 miles of this practice location's ZIP code, 226 of them within 10 miles.

The same primary taxonomy is listed by 4,663 in California and 32,933 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Star Cannon
Status
Active
NPI issued
Last updated in NPPES

Is this your record? Updates are made through NPPES, the official National Plan and Provider Enumeration System.

NPPES data as of · Source: CMS NPPES

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