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

MR. KYLE JAMISON PENNIMAN MSW, LIAC
NPI 1922267079
Counselor - Addiction (Substance Use Disorder) in Phoenix, AZ

Q: What is Kyle Penniman's NPI number?

The NPI number for Kyle Penniman is 1922267079. It was assigned to this individual provider in the NPPES registry on June 4, 2008. The provider is also known as Courtney Penniman.

Q: What is Kyle Penniman's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Kyle Penniman was last updated on October 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 June 04, 2008

4114 E CAMPBELL AVE, PHOENIX, AZ 85018(602) 330-6143 Get Directions Write a Review

NPPES record last updated: October 23, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Mr. Kyle Jamison Penniman Msw, Liac NPPES

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

MR. KYLE JAMISON PENNIMAN MSW, LIAC (NPI 1922267079) is an individual addiction (substance use disorder) provider in Phoenix, Arizona and active in the NPI registry since June 2008.

NPPES Registry Identity

NPI1922267079

Entity TypeIndividualMale

Primary Taxonomy101YA0400X

Provider Legal NameMR. KYLE JAMISON PENNIMANCredential: MSW, LIAC

Location Address4114 E CAMPBELL AVEPhoenix, AZ 85018-3711

Mailing Address4114 E Campbell AvePhoenix, AZ 85018-3711 · (602) 330-6143

Phone(602) 330-6143

Sole ProprietorYes

Enumeration DateJune 4, 2008

Last NPPES UpdateOctober 23, 2026

NPPES CertifiedOctober 23, 2026

✔ NPI 1922267079 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

4114 E CAMPBELL AVE, Phoenix, AZ 85018

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Other Names 1

Former Name (1)Courtney Penniman

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna HealthCare of Arizona, Inc.Insurance ›

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 Penniman's NPI number?

The NPI number for Kyle Penniman is 1922267079. It was assigned to this individual provider in the NPPES registry on June 4, 2008. The provider is also known as Courtney Penniman.

Where is Kyle Penniman located?

Kyle Penniman practices at 4114 E Campbell Ave, Phoenix, AZ 85018. The listed phone number is (602) 330-6143.

What is Kyle Penniman's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

What insurance does Kyle Penniman accept?

Health plans from Cigna HealthCare of Arizona, Inc list Kyle Penniman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kyle Penniman was last updated on October 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.