Kyle James Kearney, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

18272 Issued in CA

Practice address

13405 Folsom Blvd Ste 200
Folsom, CA 95630-4738

Phone

(916) 292-9000

NPI assigned

May 31, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Folsom Teen and Family Counseling Services, Professional Corporation

  • Marriage & Family Therapist
  • Folsom, CA
  • NPI 1619785243
  NPD

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

{
    "created_epoch": "1527724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761868800000",
    "number": "1689166175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 CANYON WOODS DR APT D",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945824218",
            "telephone_number": "925-922-0119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13405 FOLSOM BLVD STE 200",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956304738",
            "telephone_number": "916-292-9000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "222 W 39th Ave",
            "address_purpose": "LOCATION",
            "city": "San Mateo",
            "state": "CA",
            "postal_code": "944034364",
            "country_code": "US",
            "telephone_number": "650-573-2662",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEARNEY",
        "first_name": "KYLE",
        "middle_name": "JAMES",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-31",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "18272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Issa Kawas, DDS
• Johanna Kay, PA-C
• Hamid Kazerouni Zadeh, MD
• Alexandra Rader Keane, DPT
• Brittany Kearney, RD
• Tess Keehn, L.M.F.T.
• Hailee Madison Keeler
• Keikhan and Ebrahimi Adc
• Kathy Keikhan Ebrahimi, DDS
• Robert Kelleher, DDS

• Professional Counselor in Folsom, CA
• Providers in Folsom, CA by specialty
• Professional Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2025; 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.