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RENAE JEFFERSON
NPI 1992104590
Peer Specialist in Stockton, CA

Active since August 19, 2014
1212 N CALIFORNIA ST, STOCKTON, CA 95202(209) 468-2343 Get Directions Write a Review

NPPES record last updated: November 6, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 6, 2024, Jul 27, 2023 (2 updates tracked since 2023).

About Renae Jefferson NPPES

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

RENAE JEFFERSON (NPI 1992104590) is an individual peer specialist in Stockton, California, licensed in California (MPSS-PWOO12) and active in the NPI registry since August 2014.

NPPES Registry Identity

NPI1992104590
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameRENAE JEFFERSON
Location Address1212 N CALIFORNIA STStockton, CA 95202-1552
Mailing Address1212 N California StStockton, CA 95202-1552 · (209) 468-2343
Phone(209) 468-2343
Sole ProprietorNo
Enumeration DateAugust 19, 2014
Last NPPES UpdateNovember 6, 20242 updates tracked since enumeration
NPPES CertifiedNovember 6, 2024
✔ NPI 1992104590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in CA · MPSS-PWOO12
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.
1212 N CALIFORNIA ST, Stockton, CA 95202
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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.

SAN JOAQUIN COUNTY BEHAVIORAL HEALTH SERVICES
Clinic/Center (Mental Health (Including Community Mental Health Center))
1212 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 468-8700
PENNY GIBBONS BURKE RPH
Pharmacist
1212 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 468-8711
DOLORIS MOODY
Case Manager/Care Coordinator
1212 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 468-8660
MS. DELIA ORDAZ RN
Registered Nurse
1212 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 468-3760
DONNA L BICKHAM ACSW
Social Worker (Clinical)
1212 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 953-7313
RITA N. MENDOZA
Technician, Other
1212 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 468-8718
MR. KENNETH RAY COCIO
Counselor (Mental Health)
1212 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 468-8660
ANDREA MICHELLE HERNANDEZ
Counselor (Mental Health)
1212 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 468-8686

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 Renae Jefferson's NPI number?

The NPI number for Renae Jefferson is 1992104590. It was assigned to this individual provider in the NPPES registry on August 19, 2014.

Where is Renae Jefferson located?

Renae Jefferson practices at 1212 N California St, Stockton, CA 95202. The listed phone number is (209) 468-2343.

What is Renae Jefferson'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 Renae Jefferson was last updated on November 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.