COURTNEY ANNE PENEBAKER CADC II
NPI 1679076509
Counselor - Addiction (Substance Use Disorder) in Visalia, CA

Q: What is Courtney Penebaker's NPI number?

The NPI number for Courtney Penebaker is 1679076509. It was assigned to this individual provider in the NPPES registry on March 16, 2018.

Q: What is Courtney Penebaker's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Active since March 16, 2018

320 W OAK AVE, VISALIA, CA 93291(559) 625-2995(559) 625-4729 Get Directions Write a Review

NPPES record last updated: July 10, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 10, 2025, Feb 9, 2022, Mar 16, 2018 (3 updates tracked since 2018).

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About Courtney Anne Penebaker Cadc Ii NPPES

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

COURTNEY ANNE PENEBAKER CADC II (NPI 1679076509) is an individual addiction (substance use disorder) provider in Visalia, California, licensed in California (A061741022) and active in the NPI registry since March 2018. She maintains a secondary practice location in Visalia.

NPPES Registry Identity

NPI1679076509

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameCOURTNEY ANNE PENEBAKERCredential: CADC II

Location Address320 W OAK AVEVisalia, CA 93291-4929

Mailing Address320 W Oak AveVisalia, CA 93291-4929 · (559) 625-2995 · Fax (559) 625-4729

Phone(559) 625-2995

Fax(559) 625-4729

Sole ProprietorYes

Enumeration DateMarch 16, 2018

Last NPPES UpdateJuly 10, 20253 updates tracked since enumeration

NPPES CertifiedJuly 10, 2025

✔ NPI 1679076509 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

Licenses✔ Licensed in CA · A061741022✔ Licensed in CA · R1294550318✔ Licensed in CA · CI31061020

320 W OAK AVE, Visalia, CA 93291

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Secondary Practice Location 1

Location 11425 East WalnutVisalia, CA 93292 · Phone (559) 625-0440 · Fax (559) 625-4729

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.

CENTRAL VALLEY RECOVERY SERVICES, INC..

Substance Abuse Rehabilitation Facility