Kyle Wayne Adamson
Individual provider Active NPI Professional Counselor · Santa Rosa, CA
NPI 1861363947 · NPPES record last updated Sep 13, 2025
Key facts
- NPI
- 1861363947
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- APCC19948 (CA)
- Practice address
- 4415 Sonoma Hwy Ste B
Santa Rosa, CA 95409-4165 - Phone
- (707) 327-0909
- NPI assigned
- Sep 13, 2025
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APCC19948 | CA | MD | Professional Counselor |
| AMFT156235 | CA | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | AMFT156235 | CA | |
| Professional Counselor | 101YP2500X | APCC19948 | CA | Yes |
Addresses
Primary practice location
4415 Sonoma Hwy Ste B
Santa Rosa, CA 95409-4165
Mailing address
PO Box 108
Fulton, CA 95439-0108
Other providers in Santa Rosa, CA
- Christina Elaine Adams
- Felicia Adams
- Jaykah Layne Adams
- Patricia Adams
- Cassandra Stella-Blue Adamson
- Adapthealth West, LLC
- Richard B. Addison
- Afua Adih
- Christopher Adkins
- Naveen Kumar Reddy Admala
All providers in Santa Rosa, CA · Professional Counselor in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 13, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.