What is Autumn Fury's NPI number?

The NPI number assigned to this healthcare provider is 1770209652, enumerated as a individual on October 13, 2022.

Where is the provider located?

The provider is located at 1420 WILLOW PASS RD # 200 CONCORD, CA 94520 and the phone number is (925) 646-5480.

What is the provider's specialty?

The provider's specialty is Peer Specialist with taxonomy code 175T00000X.

AUTUMN RENEE FURY - NPI 1770209652 - Peer Specialist in Concord, CA

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About Autumn Renee Fury NPPES

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

AUTUMN RENEE FURY (NPI 1770209652) is an individual peer specialist in Concord, California and active in the NPI registry since October 2022.

NPPES Registry Identity

NPI1770209652

Entity TypeIndividualFemale

Primary Taxonomy175T00000X

Provider Legal NameAUTUMN RENEE FURY

Location Address1420 WILLOW PASS RD # 200Concord, CA 94520-5823

Mailing Address1420 Willow Pass Rd # 200Concord, CA 94520-5823 · (925) 646-5480

Phone(925) 646-5480

Sole ProprietorNo

Enumeration DateOctober 13, 2022

Last NPPES UpdateApril 17, 20254 updates tracked since enumeration

NPPES CertifiedApril 17, 2025

✔ NPI 1770209652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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 ListedDay Training/Habilitation SpecialistTaxonomy 373H00000X

1420 WILLOW PASS RD # 200, Concord, CA 94520

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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.

KAREN RAMIREZ

Counselor (Mental Health)