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SHANNON ROSE HACKETT SUDRC
NPI 1932079241
Counselor - Addiction (Substance Use Disorder) in Sacramento, CA

Active since November 11, 2025
310 HARRIS AVE STE A, SACRAMENTO, CA 95838(916) 649-6793(916) 929-7411 Get Directions Write a Review

NPPES record last updated: November 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shannon Rose Hackett Sudrc NPPES

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

SHANNON ROSE HACKETT SUDRC (NPI 1932079241) is an individual addiction (substance use disorder) provider in Sacramento, California, licensed in California (23043) and active in the NPI registry since November 2025.

NPPES Registry Identity

NPI1932079241
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameSHANNON ROSE HACKETTCredential: SUDRC
Location Address310 HARRIS AVE STE ASacramento, CA 95838-3249
Mailing Address310 Harris Ave Ste ASacramento, CA 95838-3249 · (916) 649-6793 · Fax (916) 929-7411
Phone(916) 649-6793
Fax(916) 929-7411
Sole ProprietorYes
Enumeration DateNovember 11, 2025
NPPES CertifiedNovember 11, 2025
✔ NPI 1932079241 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
License✔ Licensed in CA · 23043
310 HARRIS AVE STE A, Sacramento, CA 95838
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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.

JENNIFER LYNN TERRERI
Counselor (Addiction (Substance Use Disorder))
310 HARRIS AVE STE A
SACRAMENTO, CA 95838
Sacramento County (916) 649-6793
TRAVIS FRANKLIN
Counselor (Addiction (Substance Use Disorder))
310 HARRIS AVE STE A
SACRAMENTO, CA 95838
Sacramento County (916) 649-6793
CION ROSE PERFECTO
Licensed Vocational Nurse
310 HARRIS AVE STE A
SACRAMENTO, CA 95838
Sacramento County (916) 649-6793
AMANDA SELF SUDRC 13199
Counselor (Addiction (Substance Use Disorder))
310 HARRIS AVE STE A
SACRAMENTO, CA 95838
Sacramento County (916) 649-6793
DAN LEMUEL DIRECTO JACOB
Licensed Vocational Nurse
310 HARRIS AVE STE A
SACRAMENTO, CA 95838
Sacramento County (916) 649-6793
DOMINIQUE JENKINS LVN
Licensed Vocational Nurse
310 HARRIS AVE STE A
SACRAMENTO, CA 95838
Sacramento County (916) 649-6793
MS. MELANIE ELAINE PHILLIPS CADC II
Counselor (Addiction (Substance Use Disorder))
310 HARRIS AVE STE A
SACRAMENTO, CA 95838
Sacramento County (916) 649-6793
LUCY CRUZ RENTERIA CCMA
Case Manager/Care Coordinator
310 HARRIS AVE STE A
SACRAMENTO, CA 95838
Sacramento County (916) 649-6793

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 Shannon Hackett's NPI number?

The NPI number for Shannon Hackett is 1932079241. It was assigned to this individual provider in the NPPES registry on November 11, 2025.

Where is Shannon Hackett located?

Shannon Hackett practices at 310 Harris Ave Ste A, Sacramento, CA 95838. The listed phone number is (916) 649-6793.

What is Shannon Hackett's specialty?

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

When was this NPI record last updated?

The NPPES record for Shannon Hackett was last updated on November 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.