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MR. KYLE COLLIS
NPI 1063239135
Counselor - Mental Health in Santa Rosa, CA

Active since September 20, 2024
3728 ESPRESSO CT, SANTA ROSA, CA 95403(707) 849-4950 Get Directions Write a Review

NPPES record last updated: September 20, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mr. Kyle Collis NPPES

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

MR. KYLE COLLIS (NPI 1063239135) is an individual mental health provider in Santa Rosa, California, licensed in California (110709) and active in the NPI registry since September 2024.

NPPES Registry Identity

NPI1063239135
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. KYLE COLLIS
Location Address3728 ESPRESSO CTSanta Rosa, CA 95403-8659
Mailing Address3728 Espresso CtSanta Rosa, CA 95403-8659 · (707) 849-4950
Phone(707) 849-4950
Sole ProprietorYes
Enumeration DateSeptember 20, 2024
NPPES CertifiedSeptember 20, 2024
✔ NPI 1063239135 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 · 110709
3728 ESPRESSO CT, Santa Rosa, CA 95403
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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 Kyle Collis's NPI number?

The NPI number for Kyle Collis is 1063239135. It was assigned to this individual provider in the NPPES registry on September 20, 2024.

Where is Kyle Collis located?

Kyle Collis practices at 3728 Espresso Ct, Santa Rosa, CA 95403. The listed phone number is (707) 849-4950.

What is Kyle Collis'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 Kyle Collis was last updated on September 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.