Kenneth Lillard

Individual Active
NPI 1396870556
Peer Specialist San Bernardino, CA

NPI 1396870556 belongs to Kenneth Lillard, a peer specialist with a practice location in San Bernardino, CA. The NPI was issued on February 21, 2007, and the record was last updated in NPPES on August 11, 2026. The record lists 3 taxonomy codes.

Taxonomies and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000X MPSS-LDEZIM (CA)
Community Health Worker 172V00000X Not listed
Mental Health Counselor 101YM0800X Not listed

Practice location

572 N Arrowhead Ave
San Bernardino, CA 92401-1251
Phone: (909) 266-2700

Local context

Active NPPES records list 628 providers with peer specialist as the primary taxonomy within 25 miles of this practice location's ZIP code, 273 of them within 10 miles.

The same primary taxonomy is listed by 4,663 in California and 32,933 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Kenneth Michael Lillard
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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