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KYLE WIESENTHAL
NPI 1710601240
Peer Specialist in Sacramento, CA

Active since September 28, 2022
401 S ST, SACRAMENTO, CA 95811(916) 584-7800 Get Directions Write a Review

NPPES record last updated: August 8, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 8, 2023, Sep 28, 2022 (2 updates tracked since 2022).

About Kyle Wiesenthal NPPES

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

KYLE WIESENTHAL (NPI 1710601240) is an individual peer specialist in Sacramento, California, licensed in California (MPSS-INTFER) and active in the NPI registry since September 2022.

NPPES Registry Identity

NPI1710601240
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameKYLE WIESENTHAL
Location Address401 S STSacramento, CA 95811-6919
Mailing Address401 S StSacramento, CA 95811-6919 · (916) 584-7800
Phone(916) 584-7800
Sole ProprietorNo
Enumeration DateSeptember 28, 2022
Last NPPES UpdateAugust 8, 20232 updates tracked since enumeration
NPPES CertifiedAugust 8, 2023
✔ NPI 1710601240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in CA · MPSS-INTFER
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 ListedCommunity Health WorkerTaxonomy 172V00000X
401 S ST, Sacramento, CA 95811
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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.

MAYRA SEGURA VILLA
Community Health Worker
401 S ST
SACRAMENTO, CA 95811
Sacramento County (916) 584-7800
ANNELISE C AFFONSO
Community Health Worker
401 S ST
SACRAMENTO, CA 95811
Sacramento County (916) 584-7800
ANDREA R VARNER
Counselor
401 S ST
SACRAMENTO, CA 95811
Sacramento County (916) 584-7800
EVETTE LORRAINE YBARRA LCSW
Social Worker
401 S ST
SACRAMENTO, CA 95811
Sacramento County (916) 584-7800
KAILAH BICKLE-MEKATARIAN
Adult Companion
401 S ST
SACRAMENTO, CA 95811
Sacramento County (916) 584-7800
GALYNA TOFAN
Adult Companion
401 S ST
SACRAMENTO, CA 95811
Sacramento County (916) 584-7800
LORIN NICOLE WELCH RADT I
Day Training/Habilitation Specialist
401 S ST
SACRAMENTO, CA 95811
Sacramento County (916) 584-7800
DULCE GOODE
Student in an Organized Health Care Education/Training Program
401 S ST
SACRAMENTO, CA 95811
Sacramento County (209) 712-9416

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 Kyle Wiesenthal's NPI number?

The NPI number for Kyle Wiesenthal is 1710601240. It was assigned to this individual provider in the NPPES registry on September 28, 2022.

Where is Kyle Wiesenthal located?

Kyle Wiesenthal practices at 401 S St, Sacramento, CA 95811. The listed phone number is (916) 584-7800.

What is Kyle Wiesenthal'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 Kyle Wiesenthal was last updated on August 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.