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PRISCILLA LUPITA KAVANAGH LPCC
NPI 1528429057
Counselor - Professional in Stockton, CA

Active since March 10, 2016
1212 N CALIFORNIA ST, STOCKTON, CA 95202(530) 721-1169 Get Directions Write a Review

NPPES record last updated: December 28, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Priscilla Lupita Kavanagh Lpcc NPPES

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

PRISCILLA LUPITA KAVANAGH LPCC (NPI 1528429057) is an individual professional provider in Stockton, California, licensed in California (7094) and active in the NPI registry since March 2016.

NPPES Registry Identity

NPI1528429057
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NamePRISCILLA LUPITA KAVANAGHCredential: LPCC
Location Address1212 N CALIFORNIA STStockton, CA 95202-1552
Mailing Address1212 North California St., Team DStockton, CA 95202 · (209) 953-1030 · Fax (209) 468-3516
Phone(530) 721-1169
Sole ProprietorYes
Enumeration DateMarch 10, 2016
Last NPPES UpdateDecember 28, 2023
NPPES CertifiedDecember 28, 2023
✔ NPI 1528429057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in CA · 7094
1212 N CALIFORNIA ST, Stockton, CA 95202
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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.

SAN JOAQUIN COUNTY BEHAVIORAL HEALTH SERVICES
Clinic/Center (Mental Health (Including Community Mental Health Center))
1212 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 468-8700
PENNY GIBBONS BURKE RPH
Pharmacist
1212 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 468-8711
DOLORIS MOODY
Case Manager/Care Coordinator
1212 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 468-8660
MS. DELIA ORDAZ RN
Registered Nurse
1212 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 468-3760
DONNA L BICKHAM ACSW
Social Worker (Clinical)
1212 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 953-7313
RITA N. MENDOZA
Technician, Other
1212 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 468-8718
MR. KENNETH RAY COCIO
Counselor (Mental Health)
1212 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 468-8660
ANDREA MICHELLE HERNANDEZ
Counselor (Mental Health)
1212 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 468-8686

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 Priscilla Kavanagh's NPI number?

The NPI number for Priscilla Kavanagh is 1528429057. It was assigned to this individual provider in the NPPES registry on March 10, 2016.

Where is Priscilla Kavanagh located?

Priscilla Kavanagh practices at 1212 N California St, Stockton, CA 95202. The listed phone number is (530) 721-1169.

What is Priscilla Kavanagh's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Priscilla Kavanagh was last updated on December 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.