Kari Kenyon, AOD COUNSELOR

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

10894 Issued in CA

Practice address

1380 Wright St Apt 8
Santa Rosa, CA 95404-3437

Phone

(360) 461-1190

NPI assigned

Feb 14, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1487030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597881600000",
    "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": "1380 WRIGHT ST APT 8",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954043437",
            "telephone_number": "360-461-1190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENYON",
        "first_name": "KARI",
        "credential": "AOD COUNSELOR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-14",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "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": []
}

• Kenneth J. Bauer, DDS, a Professional Corporation
• Alex M Kennett
• James Kenney, PHARM.D.
• Scott Kensinger, MS, CCC-SLP
• Anna Kenyon, RN
• Emily Keram, M.D.
• Stevan Keram, M.D.
• Chris Everett Kerger, C.P.
• Keri Gnanashanmugam Licensed Clinical Social Worker Inc.
• Katie Jo Keridan, PSY.D.

• Addiction (Substance Use Disorder) Counselor in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2020; 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.