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AUTUM RAE CLEMENTS
NPI 1720747942
Peer Specialist in Riverside, CA

Active since December 15, 2021
4295 BROCKTON AVE, RIVERSIDE, CA 92501(951) 341-3786 Get Directions Write a Review

NPPES record last updated: February 8, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 8, 2023, Dec 15, 2021 (2 updates tracked since 2021).

About Autum Rae Clements NPPES

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

AUTUM RAE CLEMENTS (NPI 1720747942) is an individual peer specialist in Riverside, California and active in the NPI registry since December 2021. She maintains a secondary practice location in Riverside.

NPPES Registry Identity

NPI1720747942
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameAUTUM RAE CLEMENTS
Location Address4295 BROCKTON AVERiverside, CA 92501-3446
Mailing Address5870 Arlington AveRiverside, CA 92504-2037 · (951) 683-6596
Phone(951) 341-3786
Sole ProprietorYes
Enumeration DateDecember 15, 2021
Last NPPES UpdateFebruary 8, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 8, 2023
✔ NPI 1720747942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
4295 BROCKTON AVE, Riverside, CA 92501
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Secondary Practice Location 1

Location 110001 County Farm RdRiverside, CA 92503-3507 · Phone (951) 358-4382

Other Identifiers 1

Medicaid1487716619CA

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.

RENEE WOOTEN
Counselor (Addiction (Substance Use Disorder))
4295 BROCKTON AVE
RIVERSIDE, CA 92501
Riverside County (951) 341-3786
LAILA DELIRA
Peer Specialist
4295 BROCKTON AVE
RIVERSIDE, CA 92501
Riverside County (951) 683-6596
ASHLEY CAPONE
Marriage & Family Therapist
4295 BROCKTON AVE
RIVERSIDE, CA 92501
Riverside County (951) 341-3786
LETICIA ESTRADA
Counselor
4295 BROCKTON AVE
RIVERSIDE, CA 92501
Riverside County (951) 341-3786
ANNA STARCK PEER SUPPORT
Peer Specialist
4295 BROCKTON AVE
RIVERSIDE, CA 92501
Riverside County (951) 341-3786
JAYE NICOLE
Counselor (Addiction (Substance Use Disorder))
4295 BROCKTON AVE
RIVERSIDE, CA 92501
Riverside County (951) 683-6596
DAISY FARIAS
Counselor (Addiction (Substance Use Disorder))
4295 BROCKTON AVE
RIVERSIDE, CA 92501
Riverside County (951) 683-6596
IRENE VILLEGAS
Counselor
4295 BROCKTON AVE
RIVERSIDE, CA 92501
Riverside County (951) 341-3786

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 Autum Clements's NPI number?

The NPI number for Autum Clements is 1720747942. It was assigned to this individual provider in the NPPES registry on December 15, 2021.

Where is Autum Clements located?

Autum Clements practices at 4295 Brockton Ave, Riverside, CA 92501. The listed phone number is (951) 341-3786.

What is Autum Clements'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 Autum Clements was last updated on February 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.