Courtney Anne Penebaker, CADC II

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

A061741022 Issued in CA

Practice address

320 W Oak Ave
Visalia, CA 93291-4929

Phone

(559) 625-2995

Fax

(559) 625-4729

NPI assigned

Mar 16, 2018

Sex

Female

Sole proprietor

Yes

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Central Valley Recovery Services, Inc.

  • Substance Abuse Rehabilitation Facility
  • Visalia, CA
  • NPI 1619335239
  NPD (past)
• Central Valley Recovery Services, Inc..

  • Substance Abuse Rehabilitation Facility
  • Visalia, CA
  • NPI 1043346067
  NPD (past)
• Centraol Valley Recovery Services, Inc.

  • Substance Abuse Rehabilitation Facility
  • Visalia, CA
  • NPI 1346620374
  NPD (past)

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

{
    "created_epoch": "1521158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1679076509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 W OAK AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932914929",
            "telephone_number": "559-625-2995",
            "fax_number": "559-625-4729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 W OAK AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932914929",
            "telephone_number": "559-625-2995",
            "fax_number": "559-625-4729"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1425 East Walnut",
            "address_purpose": "LOCATION",
            "city": "Visalia",
            "state": "CA",
            "postal_code": "93292",
            "country_code": "US",
            "telephone_number": "559-625-0440",
            "fax_number": "559-625-4729",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PENEBAKER",
        "first_name": "COURTNEY",
        "middle_name": "ANNE",
        "credential": "CADC II",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-16",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "R1294550318",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "CI31061020",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "A061741022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Librada Pena
• Linda Pena, M.A., CCC-SLP
• Maria C Pena, MFT
• Karl John Pendegraft, D.D.S.
• Victoria Neil Pendleton
• Cassandra Peplow
• Mario Peralta
• Dylan M Pereira, CMT
• Aubree Daucell Pereyra, M.D.
• Danielle Perez-Duran, MFT

• Addiction (Substance Use Disorder) Counselor in Visalia, CA
• Providers in Visalia, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.