Individual provider · Type 1 NPI
Jamie Cacopardo, PEER SUPPORT SPC.
Peer Specialist · Carl Junction, MO
NPI number
1689552234
Active
Practice location
6296 Joplin St
Carl Junction, MO 64834-8404
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Peer Specialist Primary | 175T00000X | 20218 (MO) |
Peer Specialist: 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.
About NPI 1689552234
Jamie Cacopardo, PEER SUPPORT SPC.'s National Provider Identifier is 1689552234, issued on Aug 22, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Carl Junction, MO. The record was last updated on Aug 22, 2025.