Individual provider Active NPI

Kathy Eileen Peters, CADC II-CA

  • Day Training/Habilitation Specialist
  • Concord, CA
National Provider Identifier
1700097938
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Day Training/Habilitation SpecialistTaxonomy code 373H00000X
Practice address
2280 Diamond Blvd
Concord, CA 94520-5750
Phone
(925) 723-1221
Fax
(925) 608-5984
NPI assigned
May 28, 2007
Last updated
Apr 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Day Training/Habilitation Specialist 373H00000X Primary
Community Health Worker 172V00000X

Addresses

Primary practice location

2280 Diamond Blvd
Concord, CA 94520-5750

Mailing address

Forensic Mental Health
2280 Diamond Blvd
Concord, CA 94520-6206
Phone (925) 723-1221

Other practice location 1

4545 Delta Fair Blvd
Antioch, CA 94509-3950
Phone (925) 608-5985

Other identifiers 1

IdentifierTypeStateIssuer
172V00000XMedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Drug Abuse Alternatives Center Addiction (Substance Use Disorder) Past Accepting new patients
Drug Abuse Alternatives Center PastSince Sep 24, 2023 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1180310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1700097938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "FORENSIC MENTAL HEALTH",
            "address_2": "2280 DIAMOND BLVD",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945206206",
            "telephone_number": "925-723-1221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2280 DIAMOND BLVD",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945205750",
            "telephone_number": "925-723-1221",
            "fax_number": "925-608-5984"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4545 Delta Fair Blvd",
            "address_purpose": "LOCATION",
            "city": "Antioch",
            "state": "CA",
            "postal_code": "945093950",
            "country_code": "US",
            "telephone_number": "925-608-5985",
            "fax_number": "925-609-5984",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERS",
        "first_name": "KATHY",
        "middle_name": "EILEEN",
        "credential": "CADC II-CA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-28",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "373H00000X",
            "taxonomy_group": "",
            "desc": "Day Training/Habilitation Specialist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "172V00000X",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, CA

Sources for this page

  • 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.