Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CHARRO BIJAN KENNEBRUEW LPCC
NPI 1063053684
Counselor - Professional in Lynwood, CA

Active since October 04, 2019
2640 INDUSTRY WAY, LYNWOOD, CA 90262(310) 627-4525 Get Directions Write a Review

NPPES record last updated: October 28, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 28, 2026, Jan 5, 2022, Jun 29, 2021 and 3 more (6 updates tracked since 2019).

About Charro Bijan Kennebruew Lpcc NPPES

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

CHARRO BIJAN KENNEBRUEW LPCC (NPI 1063053684) is an individual professional provider in Lynwood, California, licensed in California (LPCC23980) and active in the NPI registry since October 2019. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1063053684
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameCHARRO BIJAN KENNEBRUEWCredential: LPCC
Location Address2640 INDUSTRY WAYLynwood, CA 90262-4284
Mailing Address2640 Industry WayLynwood, CA 90262-4284
Sole ProprietorNo
Enumeration DateOctober 4, 2019
Last NPPES UpdateOctober 28, 20266 updates tracked since enumeration
NPPES CertifiedOctober 28, 2026
✔ NPI 1063053684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in CA · LPCC23980
2640 INDUSTRY WAY, Lynwood, CA 90262

Secondary Practice Locations 2

Location 13628 Stockdale HwyBakersfield, CA 93309-2153 · Phone (661) 322-1021
Location 217695 Industrial Farm RdBakersfield, CA 93308-9520 · Phone (661) 391-3190

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.

Rehabilitation Practitioner
2640 INDUSTRY WAY
LYNWOOD, CA 90262
Social Worker
2640 INDUSTRY WAY, SUITE B
LYNWOOD, CA 90262
Marriage & Family Therapist
2640 INDUSTRY WAY
LYNWOOD, CA 90262
Nurse Practitioner (Psychiatric/Mental Health)
2640 INDUSTRY WAY
LYNWOOD, CA 90262
Social Worker (Clinical)
2640 INDUSTRY WAY
LYNWOOD, CA 90262
Rehabilitation Practitioner
2640 INDUSTRY WAY
LYNWOOD, CA 90262
Licensed Vocational Nurse
2640 INDUSTRY WAY
LYNWOOD, CA 90262
Rehabilitation Practitioner
2640 INDUSTRY WAY
LYNWOOD, CA 90262

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 Charro Kennebruew's NPI number?

The NPI number for Charro Kennebruew is 1063053684. It was assigned to this individual provider in the NPPES registry on October 4, 2019.

Where is Charro Kennebruew located?

Charro Kennebruew practices at 2640 Industry Way, Lynwood, CA 90262. The listed phone number is (310) 627-4525.

What is Charro Kennebruew's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Charro Kennebruew was last updated on October 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 days 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.