Individual provider Active NPI

Dylan R Kester, LPCC

  • Professional Counselor
  • Bernalillo, NM
National Provider Identifier
1942855671
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CTB-2025-0760 Issued in NM
Practice address
1207 San Gabriel St
Bernalillo, NM 87004-5648
Phone
(505) 635-1980
NPI assigned
Aug 8, 2019
Last updated
Aug 3, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CSA0204901 NM
Professional Counselor 101YP2500X CTB-2025-0760 NM Primary

Addresses

Primary practice location

1207 San Gabriel St
Bernalillo, NM 87004-5648

Mailing address

1207 San Gabriel St
Bernalillo, NM 87004-5648
Phone (505) 635-1980

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

State licenses

LicenseStateTypeSpecialty
CSA0204901NMMDAddiction (Substance Use Disorder) Counselor
CTB-2025-0760NMMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Recovery and Resiliency Services Addiction (Substance Use Disorder) CurrentSince Jul 4, 2021 Accepting new patients
Recovery Management Center, PC Addiction (Substance Use Disorder) CurrentSince Jan 28, 2024 Accepting new patients
Special Revelations LLC Professional PastSince Dec 7, 2025 Accepting new patients

Locations

1311 N Grant St
Ste A
Silver City, NM 88061
Phone (575) 388-1447

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1565222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785715200000",
    "number": "1942855671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1207 SAN GABRIEL ST",
            "city": "BERNALILLO",
            "state": "NM",
            "postal_code": "870045648",
            "telephone_number": "505-635-1980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207 SAN GABRIEL ST",
            "city": "BERNALILLO",
            "state": "NM",
            "postal_code": "870045648",
            "telephone_number": "505-635-1980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KESTER",
        "first_name": "DYLAN",
        "middle_name": "R",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-08",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NM",
            "license": "CSA0204901",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "CTB-2025-0760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bernalillo, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.