Kyle Hara, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPCC5158 Issued in CA

Practice address

3270 Kerner Blvd Ste B
San Rafael, CA 94901

Phone

(415) 473-6648

Fax

(415) 473-6762

NPI assigned

Oct 12, 2016

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

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

{
    "created_epoch": "1476230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713830400000",
    "number": "1952851065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 FLAMINGO RD STE 114",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949413603",
            "telephone_number": "415-234-3922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3270 KERNER BLVD STE B",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "94901",
            "telephone_number": "415-473-6648",
            "fax_number": "415-473-6762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARA",
        "first_name": "KYLE",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-12",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "LPCC5158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janice Lynne Hanson, L.AC.
• Jennifer Catherine Hanson, M.D.
• Mark Hanson
• Rick Hanson, PH.D.
• Stephanie Hanton, PHARM.D.
• Simon Kiyoshi Hara
• Ryan Michael Harder, SUDRC MCPSS
• Aubrey Harmon
• Egda Haro
• Debra Harraka, DC

• Professional Counselor in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Professional Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2024; 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.