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RANDY ROUSH
NPI 1205425634
Peer Specialist in Sacramento, CA

Active since January 11, 2021
720 HOWE AVE, SACRAMENTO, CA 95825(916) 376-7736 Get Directions Write a Review

NPPES record last updated: March 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 5, 2024, Feb 7, 2024, Mar 25, 2021 and 1 more (4 updates tracked since 2021).

About Randy Roush NPPES

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

RANDY ROUSH (NPI 1205425634) is an individual peer specialist in Sacramento, California, licensed in California (MPSS-ICZJTE) and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1205425634
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameRANDY ROUSH
Location Address720 HOWE AVESacramento, CA 95825-4669
Mailing Address3815 Marconi AveSacramento, CA 95821-3867
Phone(916) 376-7736
Sole ProprietorNo
Enumeration DateJanuary 11, 2021
Last NPPES UpdateMarch 5, 20244 updates tracked since enumeration
NPPES CertifiedMarch 5, 2024
✔ NPI 1205425634 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in CA · MPSS-ICZJTE
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.
720 HOWE AVE, Sacramento, CA 95825
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Randy Roush's NPI number?

The NPI number for Randy Roush is 1205425634. It was assigned to this individual provider in the NPPES registry on January 11, 2021.

Where is Randy Roush located?

Randy Roush practices at 720 Howe Ave, Sacramento, CA 95825. The listed phone number is (916) 376-7736.

What is Randy Roush's specialty?

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

When was this NPI record last updated?

The NPPES record for Randy Roush was last updated on March 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.