Charlene Missouri

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

1000 Sunset Blvd
Rocklin, CA 95765-3791

Phone

(408) 401-3259

NPI assigned

Apr 8, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1554681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1275096232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 SUNSET BLVD",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "957653791",
            "telephone_number": "408-401-3259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 SUNSET BLVD",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "957653791",
            "telephone_number": "408-401-3259"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "630 Bercut Dr Ste C",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958110110",
            "country_code": "US",
            "telephone_number": "916-441-3819",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4433 Florin Rd # 600",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958232527",
            "country_code": "US",
            "telephone_number": "916-234-2577",
            "fax_number": "916-236-2577",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MISSOURI",
        "first_name": "CHARLENE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-08",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coral Minor
• Jenna Elizabeth Minor
• Clarissa Minton
• Lili Estela Miranda
• Veronica Miranda
• Krista Mistretta, PHARMD
• Nanani Mitchell-Pilgrim
• Priscilla Joy Miyachi
• Brandon K Miyashiro, DPT
• MK Neuropsychology Services, PC

• Peer Specialist in Rocklin, CA
• Providers in Rocklin, CA by specialty
• Peer Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.