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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LATISHA ROSE MUCKER PEER RECOVERY COACH
NPI 1245733203
Day Training/Habilitation Specialist in Stockton, CA

Active since March 15, 2018
620 N AURORA ST, STOCKTON, CA 95202(209) 468-8786(209) 468-9611 Get Directions Write a Review

NPPES record last updated: June 19, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 30, 2023, Mar 15, 2018 (2 updates tracked since 2018).

About Latisha Rose Mucker Peer Recovery Coach NPPES

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

LATISHA ROSE MUCKER PEER RECOVERY COACH (NPI 1245733203) is an individual day training/habilitation specialist in Stockton, California and active in the NPI registry since March 2018.

NPPES Registry Identity

NPI1245733203
Entity TypeIndividualFemale
Primary Taxonomy373H00000X
Provider Legal NameLATISHA ROSE MUCKERCredential: PEER RECOVERY COACH
Location Address620 N AURORA STStockton, CA 95202-2343
Mailing Address620 N Aurora StStockton, CA 95202-2343 · (209) 468-8786 · Fax (209) 468-9611
Phone(209) 468-8786
Fax(209) 468-9611
Sole ProprietorNo
Enumeration DateMarch 15, 2018
Last NPPES UpdateJune 19, 20262 updates tracked since enumeration
NPPES CertifiedJune 19, 2026
✔ NPI 1245733203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDay Training/Habilitation SpecialistNursing Service Related Providers
Taxonomy Code373H00000X
Definition
Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.
Also ListedPeer SpecialistTaxonomy 175T00000X
620 N AURORA ST, Stockton, CA 95202
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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.

VICKI LYNN MOSQUEDA ELDRED
Counselor (Addiction (Substance Use Disorder))
620 N AURORA ST
STOCKTON, CA 95202
San Joaquin County (209) 468-6857
ARIEONNE RENEE FORD
Community Health Worker
620 N AURORA ST
STOCKTON, CA 95202
San Joaquin County (209) 468-9377
MEGAN SANCHEZ LPT
Licensed Psychiatric Technician
620 N AURORA ST
STOCKTON, CA 95202
San Joaquin County (209) 468-8931
JESSICA ROSE WULSIN MA
Counselor (Mental Health)
620 N AURORA ST
STOCKTON, CA 95202
San Joaquin County (415) 420-2535
ALLIE BIPPUS THW
Day Training/Habilitation Specialist
620 N AURORA ST
STOCKTON, CA 95202
San Joaquin County (209) 468-9370
SAN JOAQUIN COUNTY BEHAVIORAL HEALTH SERVICES
Clinic/Center (Mental Health (Including Community Mental Health Center))
620 N AURORA ST
STOCKTON, CA 95202
San Joaquin County (209) 468-8700
JASMINE DOMINO
Day Training/Habilitation Specialist
620 N AURORA ST
STOCKTON, CA 95202
San Joaquin County (209) 468-9370
MICHELLE JOSEPHINE BAGDONAS
Counselor (Addiction (Substance Use Disorder))
620 N AURORA ST, SUITE 1
STOCKTON, CA 95202
San Joaquin County (209) 468-3720

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 Latisha Mucker's NPI number?

The NPI number for Latisha Mucker is 1245733203. It was assigned to this individual provider in the NPPES registry on March 15, 2018.

Where is Latisha Mucker located?

Latisha Mucker practices at 620 N Aurora St, Stockton, CA 95202. The listed phone number is (209) 468-8786.

What is Latisha Mucker's specialty?

The primary specialty registered for this NPI is Day Training/Habilitation Specialist with taxonomy code 373H00000X.

When was this NPI record last updated?

The NPPES record for Latisha Mucker was last updated on June 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 55 days 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.