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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MR. KEVIN MICHAEL EAGLESON
NPI 1235048943
Counselor - Addiction (Substance Use Disorder) in San Rafael, CA

Active since September 07, 2026
30 JOSEPH CT, SAN RAFAEL, CA 94903(415) 785-4993(415) 599-4362 Get Directions Write a Review

NPPES record added: September 7, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Mr. Kevin Michael Eagleson NPPES

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

MR. KEVIN MICHAEL EAGLESON (NPI 1235048943) is an individual addiction (substance use disorder) provider in San Rafael, California, licensed in California (13635) and active in the NPI registry since September 2026.

NPPES Registry Identity

NPI1235048943
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. KEVIN MICHAEL EAGLESON
Location Address30 JOSEPH CTSan Rafael, CA 94903-2664
Mailing Address211 Mission DrPetaluma, CA 94952-5281 · (415) 408-1979
Phone(415) 785-4993
Fax(415) 599-4362
Sole ProprietorNo
Enumeration DateSeptember 7, 2026
NPPES CertifiedSeptember 7, 2026
✔ NPI 1235048943 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 · 13635
30 JOSEPH CT, San Rafael, CA 94903
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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.

KAYLA WALTERS LPN
Licensed Practical Nurse
30 JOSEPH CT
SAN RAFAEL, CA 94903
Marin County (415) 785-4993
MR. MICHAEL MYLES CROWE
Counselor (Addiction (Substance Use Disorder))
30 JOSEPH CT
SAN RAFAEL, CA 94903
Marin County (415) 785-4993
BUCKELEW PROGRAMS
Substance Abuse Rehabilitation Facility
30 JOSEPH CT
SAN RAFAEL, CA 94903
Marin County (415) 457-6961
MS. ASHLEY DAWN MCHUGH
Counselor (Addiction (Substance Use Disorder))
30 JOSEPH CT
SAN RAFAEL, CA 94903
Marin County (415) 720-2029
MR. MICHAEL DARNEL MCLAIN CCAPP
Counselor (Addiction (Substance Use Disorder))
30 JOSEPH CT
SAN RAFAEL, CA 94903
Marin County (415) 457-6964
EMILY ANN BARTON SUDRCI
Counselor (Addiction (Substance Use Disorder))
30 JOSEPH CT
SAN RAFAEL, CA 94903
Marin County (415) 785-4993
NASTASSIA MARIE MOORE-WALKER
Counselor (Addiction (Substance Use Disorder))
30 JOSEPH CT
SAN RAFAEL, CA 94903
Marin County (415) 720-2029
MS. ANGELICA RANGEL RAC
Counselor (Addiction (Substance Use Disorder))
30 JOSEPH CT
SAN RAFAEL, CA 94903
Marin County (415) 785-4993

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 Kevin Eagleson's NPI number?

The NPI number for Kevin Eagleson is 1235048943. It was assigned to this individual provider in the NPPES registry on September 7, 2026.

Where is Kevin Eagleson located?

Kevin Eagleson practices at 30 Joseph Ct, San Rafael, CA 94903. The listed phone number is (415) 785-4993.

What is Kevin Eagleson'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 Kevin Eagleson was last updated on September 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.