MR. KEVIN KILLACKY II
NPI 1003771338
Counselor in San Diego, CA

Active since December 18, 2025
2120 SAN DIEGO AVE, SAN DIEGO, CA 92110(619) 574-6225 Get Directions Write a Review

NPPES record last updated: December 18, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Kevin Killacky Ii NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. KEVIN KILLACKY II (NPI 1003771338) is an individual counselor in San Diego, California and active in the NPI registry since December 2025.

NPPES Registry Identity

NPI1003771338
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameMR. KEVIN KILLACKY II
Location Address2120 SAN DIEGO AVESan Diego, CA 92110-2901
Mailing Address2120 San Diego AveSan Diego, CA 92110-2901 · (619) 574-6225
Sole ProprietorNo
Enumeration DateDecember 18, 2025
NPPES CertifiedDecember 18, 2025
NPI 1003771338 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

2120 SAN DIEGO AVE, San Diego, CA 92110

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Health and Wellness Coach
2120 SAN DIEGO AVE
SAN DIEGO, CA 92110
Health and Wellness Coach
2120 SAN DIEGO AVE
SAN DIEGO, CA 92110
Counselor
2120 SAN DIEGO AVE
SAN DIEGO, CA 92110
Health and Wellness Coach
2120 SAN DIEGO AVE
SAN DIEGO, CA 92110
Health and Wellness Coach
2120 SAN DIEGO AVE
SAN DIEGO, CA 92110
Local Education Agency (LEA)
2120 SAN DIEGO AVE
SAN DIEGO, CA 92110
Health and Wellness Coach
2120 SAN DIEGO AVE
SAN DIEGO, CA 92110
Health and Wellness Coach
2120 SAN DIEGO AVE
SAN DIEGO, CA 92110

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kevin Killacky's NPI number?

The NPI number for Kevin Killacky is 1003771338. It was assigned to this individual provider in the NPPES registry on December 18, 2025.

Where is Kevin Killacky located?

Kevin Killacky practices at 2120 San Diego Ave, San Diego, CA 92110. The listed phone number is (619) 574-6225.

What is Kevin Killacky's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Kevin Killacky was last updated on December 18, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.