MARIS CLEA JUWONO
NPI 1104512177
Peer Specialist in Sacramento, CA

Q: What is Maris Juwono's NPI number?

The NPI number for Maris Juwono is 1104512177. It was assigned to this individual provider in the NPPES registry on April 13, 2023.

Q: What is Maris Juwono's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

Q: When was this NPI record last updated?

The NPPES record for Maris Juwono was last updated on July 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 13, 2023

2750 SUTTERVILLE RD, SACRAMENTO, CA 95820(916) 452-3981 Get Directions Write a Review

NPPES record last updated: July 1, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 1, 2025, Mar 10, 2025, Apr 13, 2023 (3 updates tracked since 2023).

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About Maris Clea Juwono NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARIS CLEA JUWONO (NPI 1104512177) is an individual peer specialist in Sacramento, California and active in the NPI registry since April 2023. She maintains a secondary practice location in Davis.

NPPES Registry Identity

NPI1104512177

Entity TypeIndividualFemale

Primary Taxonomy175T00000X

Provider Legal NameMARIS CLEA JUWONO

Location Address2750 SUTTERVILLE RDSacramento, CA 95820-1093

Mailing Address2750 Sutterville RdSacramento, CA 95820-1093 · (916) 452-3981

Phone(916) 452-3981

Sole ProprietorNo

Enumeration DateApril 13, 2023

Last NPPES UpdateJuly 1, 20253 updates tracked since enumeration

NPPES CertifiedJuly 1, 2025

✔ NPI 1104512177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPeer SpecialistOther Service Providers

Taxonomy Code175T00000X

Definition

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.

Also ListedBehavior TechnicianTaxonomy 106S00000X

Also ListedCommunity Health WorkerTaxonomy 172V00000X

Also ListedAdult CompanionTaxonomy 372600000X

2750 SUTTERVILLE RD, Sacramento, CA 95820

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Secondary Practice Location 1

Location 11947 Galileo Ct Ste 101Davis, CA 95618-4882 · Phone (530) 220-1450

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GABRIELLE GIUSEPONI

Counselor (Professional)