Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Indiana Jason Womack, BA, CMPSS

Individual provider Peer Specialist · NPI 1316678659

Mr. Indiana Jason Womack, BA, CMPSS is a Peer Specialist in Sacramento, California. Licensed in California. Registered with an NPI since 2022.

Licensed in
CA
In the registry since
2022
Specialties on file
3
What do these letters mean?
BA — Bachelor of Arts
An undergraduate arts degree.

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Practice location Address checks out

900 Fulton Ave Ste 205
Sacramento, CA 95825-4517
Phone: (916) 484-3570
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rehabilitation Practitioner (primary) Taxonomy 225400000X
Peer Specialist Taxonomy 175T00000X · Licence MPSS-CYUFDS (CA)
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1316678659
Entity typeIndividual (Type 1)
GenderMale
Credentials BA , CMPSS
Sole proprietorNo
NPI enumeratedJune 17, 2022
Last updated in NPPESAugust 12, 2025
Certification dateAugust 12, 2025

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