Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KENNETH MICHAEL LILLARD
NPI 1396870556
Peer Specialist in San Bernardino, CA

Q: What is Kenneth Lillard's NPI number?

The NPI number for Kenneth Lillard is 1396870556. It was assigned to this individual provider in the NPPES registry on February 21, 2007.

Q: What is Kenneth Lillard's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kenneth Lillard was last updated on August 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 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.

Active since February 21, 2007

572 N ARROWHEAD AVE, SAN BERNARDINO, CA 92401(909) 266-2700 Get Directions Write a Review

NPPES record last updated: August 11, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 11, 2026, Jun 12, 2023 (2 updates tracked since 2023).

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About Kenneth Michael Lillard NPPES

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

KENNETH MICHAEL LILLARD (NPI 1396870556) is an individual peer specialist in San Bernardino, California, licensed in California (MPSS-LDEZIM) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1396870556

Entity TypeIndividualMale

Primary Taxonomy175T00000X

Provider Legal NameKENNETH MICHAEL LILLARD

Location Address572 N ARROWHEAD AVESan Bernardino, CA 92401-1251

Mailing Address11654 Ford StBeaumont, CA 92223-6298 · (909) 553-8530

Phone(909) 266-2700

Sole ProprietorNo

Enumeration DateFebruary 21, 2007

Last NPPES UpdateAugust 11, 20262 updates tracked since enumeration

NPPES CertifiedAugust 11, 2026

✔ NPI 1396870556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPeer SpecialistOther Service Providers

Taxonomy Code175T00000X

License✔ Licensed in CA · MPSS-LDEZIM

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.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

Also ListedCommunity Health WorkerTaxonomy 172V00000X

572 N ARROWHEAD AVE, San Bernardino, CA 92401

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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.

ALYSSA MARLENE RODRIGUEZ

Case Manager/Care Coordinator