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KEITH STEPHENS
NPI 1043068679
Counselor - Addiction (Substance Use Disorder) in San Bernardino, CA

Active since May 08, 2024
1100 N D ST, SAN BERNARDINO, CA 92410(909) 884-0840 Get Directions Write a Review

NPPES record last updated: April 28, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 28, 2026, Jan 10, 2025, May 8, 2024 (3 updates tracked since 2024).

About Keith Stephens NPPES

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

KEITH STEPHENS (NPI 1043068679) is an individual addiction (substance use disorder) provider in San Bernardino, California, licensed in California (R1536801123) and active in the NPI registry since May 2024.

NPPES Registry Identity

NPI1043068679
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameKEITH STEPHENS
Location Address1100 N D STSan Bernardino, CA 92410-3524
Mailing Address1100 N D StSan Bernardino, CA 92410-3524 · (909) 884-0840
Phone(909) 884-0840
Sole ProprietorNo
Enumeration DateMay 8, 2024
Last NPPES UpdateApril 28, 20263 updates tracked since enumeration
NPPES CertifiedApril 28, 2026
✔ NPI 1043068679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CA · R1536801123
1100 N D ST, San Bernardino, CA 92410
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Other Providers at the Same Location NPPES 20

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

CHRISTOPHER DODD
Counselor (Addiction (Substance Use Disorder))
1100 N D ST
SAN BERNARDINO, CA 92410
San Bernardino County (909) 884-0840
JESSICA BAUTISTA DE MORA
Case Manager/Care Coordinator
1100 N D ST
SAN BERNARDINO, CA 92410
San Bernardino County (909) 884-0840
VETERANS ALCOHOL REHABILITATION PROGRAM
Substance Abuse Rehabilitation Facility
1100 N D ST
SAN BERNARDINO, CA 92410
San Bernardino County (909) 381-3774
RICHARD VELIS
Counselor (Addiction (Substance Use Disorder))
1100 N D ST
SAN BERNARDINO, CA 92410
San Bernardino County (909) 381-3774
ADAM LAWRENCE BASTUBA
Counselor (Addiction (Substance Use Disorder))
1100 N D ST
SAN BERNARDINO, CA 92410
San Bernardino County (909) 381-3774
FREDDY SANCHEZ NAVAR CATC NO. 228278 I
Counselor (Addiction (Substance Use Disorder))
1100 N D ST
SAN BERNARDINO, CA 92410
San Bernardino County (909) 884-0840
MS. JENNIFER MARIE MENDOZA
Counselor (Addiction (Substance Use Disorder))
1100 N D ST
SAN BERNARDINO, CA 92410
San Bernardino County (909) 884-0840
JAMES LINCOLN DETTMAN
Counselor (Addiction (Substance Use Disorder))
1100 N D ST
SAN BERNARDINO, CA 92410
San Bernardino County (909) 884-0840

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 Keith Stephens's NPI number?

The NPI number for Keith Stephens is 1043068679. It was assigned to this individual provider in the NPPES registry on May 8, 2024.

Where is Keith Stephens located?

Keith Stephens practices at 1100 N D St, San Bernardino, CA 92410. The listed phone number is (909) 884-0840.

What is Keith Stephens's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Keith Stephens was last updated on April 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.