MS. DESIREE NADINE MCCOY ADJUNCT STAFF
NPI 1942641337
Peer Specialist in Fairfield, CA

Q: What is Desiree Mccoy's NPI number?

The NPI number for Desiree Mccoy is 1942641337. It was assigned to this individual provider in the NPPES registry on July 12, 2013.

Q: What is Desiree Mccoy's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

Q: When was this NPI record last updated?

The NPPES record for Desiree Mccoy was last updated on March 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since July 12, 2013

2101 COURAGE DR, FAIRFIELD, CA 94533(707) 784-2128(707) 427-2981 Get Directions Write a Review

NPPES record last updated: March 31, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 31, 2026, Jul 17, 2024, May 15, 2018 (3 updates tracked since 2018).

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About Ms. Desiree Nadine Mccoy Adjunct Staff NPPES

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

MS. DESIREE NADINE MCCOY ADJUNCT STAFF (NPI 1942641337) is an individual peer specialist in Fairfield, California, licensed in California (MPSS-ODSGKZ) and active in the NPI registry since July 2013. She maintains a secondary practice location in Oakland.

NPPES Registry Identity

NPI1942641337

Entity TypeIndividualFemale

Primary Taxonomy175T00000X

Provider Legal NameMS. DESIREE NADINE MCCOYCredential: ADJUNCT STAFF

Location Address2101 COURAGE DRFairfield, CA 94533

Mailing Address275 Beck AveFairfield, CA 94533-6804 · (707) 784-8066

Phone(707) 784-2128

Fax(707) 427-2981

Sole ProprietorYes

Enumeration DateJuly 12, 2013

Last NPPES UpdateMarch 31, 20263 updates tracked since enumeration

NPPES CertifiedMarch 31, 2026

✔ NPI 1942641337 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPeer SpecialistOther Service Providers

Taxonomy Code175T00000X

License✔ Licensed in CA · MPSS-ODSGKZ

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 ListedCounselorTaxonomy 101Y00000X

Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

2101 COURAGE DR, Fairfield, CA 94533

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Secondary Practice Location 1

Location 11211 Embarcadero, SUITE 300Oakland, CA 94606-5119 · Phone (510) 535-1409 · Fax (510) 535-1414

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.

MS. JENNIFER RUTH PETTIBONE RN

Registered Nurse (Psychiatric/Mental Health)

2101 COURAGE DR, MS-10-200
FAIRFIELD, CA 94533

Solano County (707) 784-2154

MALISSA BLAIR RN

Registered Nurse