Active NPI
Kenneth Matthew Dotson
- Addiction (Substance Use Disorder) Counselor
- San Francisco, CA
National Provider Identifier
1184539397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- RT1449500726
- Practice address
- 635 Brunswick St
San Francisco, CA 94112-4202 - Phone
- (415) 337-4065
- NPI assigned
- Aug 14, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | RT1449500726 | CA | Primary |
Addresses
Primary practice location
635 Brunswick St
San Francisco, CA 94112-4202
Mailing address
146 Cathy Ellen Dr.
Vallejo, CA 94591
Phone (209) 990-6592
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Latino Commission on Alcohol and Drug Abuse Services of San Mateo Coun | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Substance Abuse Rehabilitation Facility
- San Francisco, CA
- NPI 1477699155
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1786665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786665600000",
"number": "1184539397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "146 CATHY ELLEN DR.",
"city": "VALLEJO",
"state": "CA",
"postal_code": "94591",
"telephone_number": "209-990-6592"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "635 BRUNSWICK ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941124202",
"telephone_number": "415-337-4065"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOTSON",
"first_name": "KENNETH",
"middle_name": "MATTHEW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-08-14",
"last_updated": "2026-08-14",
"certification_date": "2026-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "RT1449500726",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.