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KYSON WILLIS
NPI 1073148169
Counselor - Mental Health in Ridgecrest, CA

Active since March 09, 2020
1400 N NORMA ST STE 127-133, RIDGECREST, CA 93555(760) 499-7406 Get Directions Write a Review

NPPES record last updated: December 9, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 9, 2021, Mar 9, 2020 (2 updates tracked since 2020).

About Kyson Willis NPPES

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

KYSON WILLIS (NPI 1073148169) is an individual mental health provider in Ridgecrest, California and active in the NPI registry since March 2020.

NPPES Registry Identity

NPI1073148169
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameKYSON WILLIS
Location Address1400 N NORMA ST STE 127-133Ridgecrest, CA 93555-2575
Mailing Address1400 N Norma St Ste 127-133Ridgecrest, CA 93555-2575 · (760) 499-7406
Phone(760) 499-7406
Sole ProprietorNo
Enumeration DateMarch 9, 2020
Last NPPES UpdateDecember 9, 20212 updates tracked since enumeration
NPPES CertifiedDecember 9, 2021
✔ NPI 1073148169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1400 N NORMA ST STE 127-133, Ridgecrest, CA 93555
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Other Providers at the Same Location NPPES 7

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

DEBBIE DIANE BECKETT CADCII
Counselor (Addiction (Substance Use Disorder))
1400 N NORMA ST STE 127-133
RIDGECREST, CA 93555
Kern County (760) 499-7406
JESSICA HIATT BA
Case Manager/Care Coordinator
1400 N NORMA ST STE 127-133
RIDGECREST, CA 93555
Kern County (760) 499-7406
MRS. ASHLEY LYNN PASCARELLA
Case Manager/Care Coordinator
1400 N NORMA ST STE 127-133
RIDGECREST, CA 93555
Kern County (760) 499-7406
KEVIN BRADY WINNIFORD
Counselor (Addiction (Substance Use Disorder))
1400 N NORMA ST STE 127-133
RIDGECREST, CA 93555
Kern County (760) 499-7406
ERIKAH VIRGEN
Marriage & Family Therapist
1400 N NORMA ST STE 127-133
RIDGECREST, CA 93555
Kern County (760) 499-7406
LACINDA BEYES
Case Manager/Care Coordinator
1400 N NORMA ST STE 127-133
RIDGECREST, CA 93555
Kern County (760) 499-7406
JOSHUA RAY PIERCE
Peer Specialist
1400 N NORMA ST STE 127-133
RIDGECREST, CA 93555
Kern County (760) 499-7406

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 Kyson Willis's NPI number?

The NPI number for Kyson Willis is 1073148169. It was assigned to this individual provider in the NPPES registry on March 9, 2020.

Where is Kyson Willis located?

Kyson Willis practices at 1400 N Norma St Ste 127-133, Ridgecrest, CA 93555. The listed phone number is (760) 499-7406.

What is Kyson Willis'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 Kyson Willis was last updated on December 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.