Kristopher Riley Statham, PPSC, CWC II

Primary specialty

School CounselorTaxonomy code 101YS0200X

License

260077394 Issued in CA

Practice address

11601 Main St
Sunol, CA 94586-9519

Phone

(669) 241-0420

NPI assigned

Sep 22, 2026

Last updated

Sep 22, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1790035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790035200000",
    "number": "1851203848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 SANCHEZ ST APT 2150",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941142080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11601 MAIN ST",
            "city": "SUNOL",
            "state": "CA",
            "postal_code": "945869519",
            "telephone_number": "669-241-0420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STATHAM",
        "first_name": "KRISTOPHER",
        "middle_name": "RILEY",
        "credential": "PPSC, CWC II",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-09-22",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "CA",
            "license": "260077394",
            "primary": true
        },
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "CA",
            "license": "BA0F6A6A74",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Timothy Devereux, PA-C
• Healios Nutrition Inc.
• Hoofbeats to Health
• Jieun Lee, DNP, PMHNP-BC
• Jennifer Murphy
• Sunol Glen Unified School District
• Sunol Hills LLC

• School Counselor in Sunol, CA
• Providers in Sunol, CA by specialty
• School Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.