STEPHANIE KIDWELL
NPI 1124768155
Peer Specialist in Hemet, CA

Active since March 29, 2022
258 N THOMPSON ST, HEMET, CA 92543(951) 534-9003 Get Directions Write a Review

NPPES record last updated: November 20, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 20, 2024, Feb 23, 2023 (2 updates tracked since 2023).

About Stephanie Kidwell NPPES

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

STEPHANIE KIDWELL (NPI 1124768155) is an individual peer specialist in Hemet, California, licensed in California (MPSS-VK5FJX) and active in the NPI registry since March 2022.

NPPES Registry Identity

NPI1124768155
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameSTEPHANIE KIDWELL
Location Address258 N THOMPSON STHemet, CA 92543-4311
Mailing Address258 N Thompson StHemet, CA 92543-4311 · (951) 534-9003
Sole ProprietorNo
Enumeration DateMarch 29, 2022
Last NPPES UpdateNovember 20, 20242 updates tracked since enumeration
NPPES CertifiedNovember 20, 2024
NPI 1124768155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License Licensed in CA · MPSS-VK5FJX
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
258 N THOMPSON ST, Hemet, CA 92543

Other Providers at the Same Location NPPES 8

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

Student in an Organized Health Care Education/Training Program
258 N THOMPSON ST
HEMET, CA 92543
Case Manager/Care Coordinator
258 N THOMPSON ST
HEMET, CA 92543
Community Health Worker
258 N THOMPSON ST
HEMET, CA 92543
Community/Behavioral Health
258 N THOMPSON ST
HEMET, CA 92543
Community Health Worker
258 N THOMPSON ST
HEMET, CA 92543
Community Health Worker
258 N THOMPSON ST
HEMET, CA 92543
Counselor (Addiction (Substance Use Disorder))
258 N THOMPSON ST
HEMET, CA 92543
Peer Specialist
258 N THOMPSON ST
HEMET, CA 92543

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 Stephanie Kidwell's NPI number?

The NPI number for Stephanie Kidwell is 1124768155. It was assigned to this individual provider in the NPPES registry on March 29, 2022.

Where is Stephanie Kidwell located?

Stephanie Kidwell practices at 258 N Thompson St, Hemet, CA 92543. The listed phone number is (951) 534-9003.

What is Stephanie Kidwell's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Stephanie Kidwell was last updated on November 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.