Individual provider Active NPI

Kyle Helmke

  • Addiction (Substance Use Disorder) Counselor
  • San Diego, CA
National Provider Identifier
1164933875
Registry record updated Oct 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Practice address
3288 El Cajon Blvd Ste 13
San Diego, CA 92104-1430
Phone
(619) 521-5720
Fax
(619) 521-5728
NPI assigned
Oct 20, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Primary

Addresses

Primary practice location

3288 El Cajon Blvd Ste 13
San Diego, CA 92104-1430

Mailing address

7671 Mission Gorge Rd Unit 106
San Diego, CA 92120-1361
Phone (619) 521-5720

Other identifiers 1

IdentifierTypeStateIssuer
3704MedicaidCA

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

NPI Registry JSON

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

{
    "created_epoch": "1508457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508457600000",
    "number": "1164933875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7671 MISSION GORGE RD UNIT 106",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921201361",
            "telephone_number": "619-521-5720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3288 EL CAJON BLVD STE 13",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921041430",
            "telephone_number": "619-521-5720",
            "fax_number": "619-521-5728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HELMKE",
        "first_name": "KYLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-20",
        "last_updated": "2017-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3704",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2017; 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.