Kristopher Riley Statham, PPSC, CWC II is a
Counselor - School based in Sunol, California. Kristopher Riley Statham is licensed to practice in California (license number 260077394) and his current practice location is
11601 Main St, Sunol, California. He can be reached at his office (for appointments etc.) via phone at
(669) 241-0420.
NPI number for Kristopher Riley Statham is 1851203848 and his current mailing address is 407 Sanchez St Apt 2150, San Francisco, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1851203848.
Healthcare Provider's Profile
| Full Name | Kristopher Riley Statham |
|---|
| Gender | Male |
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| Speciality | Counselor - School |
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| Location | 11601 Main St, Sunol, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1851203848
- Provider Enumeration Date: 09/22/2026
- Last Update Date: 09/22/2026
Medical Identifiers
Medical identifiers for Kristopher Riley Statham such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1851203848 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YS0200X | Counselor - School | 260077394 (California) | Primary |
| 171400000X | Health & Wellness Coach | BA0F6A6A74 (California) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kristopher Riley Statham is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Kristopher Riley Statham, PPSC, CWC II 407 Sanchez St Apt 2150, San Francisco, CA 94114-2080 Ph: Not Available | Kristopher Riley Statham, PPSC, CWC II 11601 Main St, Sunol, CA 94586-9519 Ph: (669) 241-0420 |
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