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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.

KASSIAH ETTER
NPI 1780462804
Peer Specialist in Sacramento, CA

Active since September 19, 2023
3815 MARCONI AVE, SACRAMENTO, CA 95821(916) 890-3000 Get Directions Write a Review

NPPES record last updated: September 24, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Sep 24, 2026, Jun 26, 2025 (2 updates tracked since 2025).

About Kassiah Etter NPPES

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

KASSIAH ETTER (NPI 1780462804) is an individual peer specialist in Sacramento, California, licensed in California (MPSS-CXGSFI) and active in the NPI registry since September 2023. She maintains a secondary practice location in Sacramento.

NPPES Registry Identity

NPI1780462804
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameKASSIAH ETTER
Location Address3815 MARCONI AVESacramento, CA 95821-3867
Mailing Address3815 Marconi AveSacramento, CA 95821-3867 · (916) 890-3000
Phone(916) 890-3000
Sole ProprietorNo
Enumeration DateSeptember 19, 2023
Last NPPES UpdateSeptember 24, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2026
✔ NPI 1780462804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in CA · MPSS-CXGSFI
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 ListedCommunity Health WorkerTaxonomy 172V00000X
Also ListedAdult CompanionTaxonomy 372600000X
3815 MARCONI AVE, Sacramento, CA 95821
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Secondary Practice Location 1

Location 1401 S StSacramento, CA 95811-6919 · Phone (916) 584-7800

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.

CALI T THIELEN
Adult Companion
3815 MARCONI AVE
SACRAMENTO, CA 95821
Sacramento County (916) 890-3000
STEFANEY DENISE GUEST BROWN LVN
Licensed Vocational Nurse
3815 MARCONI AVE
SACRAMENTO, CA 95821
Sacramento County (916) 890-3000
CHRISTINA NICOLE TANNER
Adult Companion
3815 MARCONI AVE
SACRAMENTO, CA 95821
Sacramento County (916) 890-3000
TAQUILLA OWENS
Community Health Worker
3815 MARCONI AVE
SACRAMENTO, CA 95821
Sacramento County (916) 890-3000
KIMONI WILLIAMS
Community Health Worker
3815 MARCONI AVE
SACRAMENTO, CA 95821
Sacramento County (916) 890-3000
NARCISA ISABELLA MAISONET-STEVENSON
Peer Specialist
3815 MARCONI AVE
SACRAMENTO, CA 95821
Sacramento County (916) 890-3000
J'QUAYSHA TUCKER LMFT
Marriage & Family Therapist
3815 MARCONI AVE
SACRAMENTO, CA 95821
Sacramento County (916) 890-3000
JAIDA-KELENI ALOHAPUUWAI KAFOVALU
Rehabilitation Practitioner
3815 MARCONI AVE
SACRAMENTO, CA 95821
Sacramento County (916) 205-1469

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 Kassiah Etter's NPI number?

The NPI number for Kassiah Etter is 1780462804. It was assigned to this individual provider in the NPPES registry on September 19, 2023.

Where is Kassiah Etter located?

Kassiah Etter practices at 3815 Marconi Ave, Sacramento, CA 95821. The listed phone number is (916) 890-3000.

What is Kassiah Etter'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 Kassiah Etter was last updated on September 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 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.