Kyle Penniman, MSW, LISAC, CADAC
NPI 1922267079 · Addiction (Substance Use Disorder) Counselor · Phoenix, AZ
Kyle Penniman, MSW, LISAC, CADAC is a Addiction (Substance Use Disorder) Counselor provider in Phoenix, AZ (NPI 1922267079).
Provider details
- NPI number
- 1922267079
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- MSW, LISAC, CADAC
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-06-04
- Last updated
- 2012-07-27
Frequently asked questions
- What is Kyle Penniman's NPI number?
- Kyle Penniman's National Provider Identifier (NPI) is 1922267079, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kyle Penniman's specialty?
- Kyle Penniman is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor (Behavioral Health & Social Service Providers).
- Where is Kyle Penniman located?
- Kyle Penniman's practice location on file with NPPES is 4020 N 20th St Ste 302, Phoenix, AZ 85016-6032.
- What is Kyle Penniman's phone number?
- The practice phone number listed in the NPPES registry for Kyle Penniman is (602) 535-6468.
- Is Kyle Penniman's NPI active?
- Yes — Kyle Penniman's NPI (1922267079) is active in the NPPES registry as of the last update on 2012-07-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.