KEITH VIDRA
NPI 1861989865
Counselor in Ukiah, CA

Active since April 16, 2018
140 GIBSON ST, UKIAH, CA 95482(707) 468-5536 Get Directions Write a Review

NPPES record last updated: April 16, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Keith Vidra NPPES

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

KEITH VIDRA (NPI 1861989865) is an individual counselor in Ukiah, California and active in the NPI registry since April 2018.

NPPES Registry Identity

NPI1861989865
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameKEITH VIDRA
Location Address140 GIBSON STUkiah, CA 95482-3941
Mailing AddressPo Box 2077Ukiah, CA 95482-2077 · (707) 467-2010
Sole ProprietorNo
Enumeration DateApril 16, 2018
NPI 1861989865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

140 GIBSON ST, Ukiah, CA 95482

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.

Rehabilitation Practitioner
140 GIBSON ST
UKIAH, CA 95482
Day Training/Habilitation Specialist
140 GIBSON ST
UKIAH, CA 95482
Marriage & Family Therapist
140 GIBSON ST
UKIAH, CA 95482
Community Health Worker
140 GIBSON ST
UKIAH, CA 95482
Day Training/Habilitation Specialist
140 GIBSON ST
UKIAH, CA 95482
Counselor
140 GIBSON ST
UKIAH, CA 95482
Marriage & Family Therapist
140 GIBSON ST
UKIAH, CA 95482
Counselor
140 GIBSON ST
UKIAH, CA 95482

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 Keith Vidra's NPI number?

The NPI number for Keith Vidra is 1861989865. It was assigned to this individual provider in the NPPES registry on April 16, 2018.

Where is Keith Vidra located?

Keith Vidra practices at 140 Gibson St, Ukiah, CA 95482. The listed phone number is (707) 468-5536.

What is Keith Vidra's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Keith Vidra was last updated on April 16, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.