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KEVIN AUSTIN CHURCHILL
NPI 1053822841
Counselor - Mental Health in Stockton, CA

Active since October 19, 2017
1212 N CALIFORNIA ST, STOCKTON, CA 95202(209) 468-0102(209) 468-2380 Get Directions Write a Review

NPPES record last updated: October 19, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kevin Austin Churchill NPPES

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

KEVIN AUSTIN CHURCHILL (NPI 1053822841) is an individual mental health provider in Stockton, California, licensed in California (40640) and active in the NPI registry since October 2017.

NPPES Registry Identity

NPI1053822841
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameKEVIN AUSTIN CHURCHILL
Location Address1212 N CALIFORNIA STStockton, CA 95202-1552
Mailing Address1212 N California StStockton, CA 95202-1552 · (209) 468-0102 · Fax (209) 468-2380
Phone(209) 468-0102
Fax(209) 468-2380
Sole ProprietorYes
Enumeration DateOctober 19, 2017
✔ NPI 1053822841 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in CA · 40640
1212 N CALIFORNIA ST, Stockton, CA 95202
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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.

SAN JOAQUIN COUNTY BEHAVIORAL HEALTH SERVICES
Clinic/Center (Mental Health (Including Community Mental Health Center))
1212 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 468-8700
PENNY GIBBONS BURKE RPH
Pharmacist
1212 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 468-8711
DOLORIS MOODY
Case Manager/Care Coordinator
1212 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 468-8660
MS. DELIA ORDAZ RN
Registered Nurse
1212 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 468-3760
DONNA L BICKHAM ACSW
Social Worker (Clinical)
1212 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 953-7313
RITA N. MENDOZA
Technician, Other
1212 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 468-8718
MR. KENNETH RAY COCIO
Counselor (Mental Health)
1212 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 468-8660
ANDREA MICHELLE HERNANDEZ
Counselor (Mental Health)
1212 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 468-8686

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 Churchill's NPI number?

The NPI number for Kevin Churchill is 1053822841. It was assigned to this individual provider in the NPPES registry on October 19, 2017.

Where is Kevin Churchill located?

Kevin Churchill practices at 1212 N California St, Stockton, CA 95202. The listed phone number is (209) 468-0102.

What is Kevin Churchill's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Kevin Churchill was last updated on October 19, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.