MICHAEL KERCKHOFF
NPI 1225894033
Counselor - Addiction (Substance Use Disorder) in San Pedro, CA

Active since February 28, 2024
505 S PACIFIC AVE, SAN PEDRO, CA 90731(310) 519-8723 Get Directions Write a Review

NPPES record last updated: February 28, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Michael Kerckhoff NPPES

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

MICHAEL KERCKHOFF (NPI 1225894033) is an individual addiction (substance use disorder) provider in San Pedro, California, licensed in California (R1550110224) and active in the NPI registry since February 2024.

NPPES Registry Identity

NPI1225894033
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMICHAEL KERCKHOFF
Location Address505 S PACIFIC AVESan Pedro, CA 90731-2656
Mailing Address1239 N Wilmington BlvdWilmington, CA 90744-2455 · (424) 536-0166
Sole ProprietorNo
Enumeration DateFebruary 28, 2024
NPPES CertifiedFebruary 28, 2024
NPI 1225894033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in CA · R1550110224
505 S PACIFIC AVE, San Pedro, CA 90731

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.

Community/Behavioral Health
505 S PACIFIC AVE
SAN PEDRO, CA 90731
Counselor
505 S PACIFIC AVE
SAN PEDRO, CA 90731
Community/Behavioral Health
505 S PACIFIC AVE, SUITE 201
SAN PEDRO, CA 90731
Internal Medicine
505 S PACIFIC AVE, SUITE #201
SAN PEDRO, CA 90731
Chiropractor (Sports Physician)
505 S PACIFIC AVE, STE 104
SAN PEDRO, CA 90731
Counselor (Addiction (Substance Use Disorder))
505 S PACIFIC AVE, SUITE 205
SAN PEDRO, CA 90731
Counselor (Addiction (Substance Use Disorder))
505 S PACIFIC AVE
SAN PEDRO, CA 90731
Counselor (Addiction (Substance Use Disorder))
505 S PACIFIC AVE
SAN PEDRO, CA 90731

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 Michael Kerckhoff's NPI number?

The NPI number for Michael Kerckhoff is 1225894033. It was assigned to this individual provider in the NPPES registry on February 28, 2024.

Where is Michael Kerckhoff located?

Michael Kerckhoff practices at 505 S Pacific Ave, San Pedro, CA 90731. The listed phone number is (310) 519-8723.

What is Michael Kerckhoff's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Michael Kerckhoff was last updated on February 28, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.