Individual provider Active NPI

Kari Kenyon, AOD COUNSELOR

  • Addiction (Substance Use Disorder) Counselor
  • Santa Rosa, CA
National Provider Identifier
1225577968
Registry record updated Sep 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
10894 Issued in CA
Practice address
1430 Neotomas Ave
Santa Rosa, CA 95405-7581
Phone
(707) 565-7460
NPI assigned
Feb 14, 2017
Last updated
Sep 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2026

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 10894 CA Primary

Addresses

Primary practice location

1430 Neotomas Ave
Santa Rosa, CA 95405-7581

Mailing address

1380 Wright St Apt 8
Santa Rosa, CA 95404-3437
Phone (360) 461-1190

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL na

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": "1487030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789948800000",
    "number": "1225577968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 WRIGHT ST APT 8",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954043437",
            "telephone_number": "360-461-1190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 NEOTOMAS AVE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954057581",
            "telephone_number": "707-565-7460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENYON",
        "first_name": "KARI",
        "credential": "AOD COUNSELOR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-14",
        "last_updated": "2026-09-21",
        "certification_date": "2026-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "10894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "na",
            "affiliation": "N",
            "address_1": "1380 Wright St Apt 8",
            "city": "Santa Rosa",
            "state": "CA",
            "country_code": "US",
            "postal_code": "954043437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.

Verify at the official NPI Registry.