Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kevin Maxwell, LPT

Individual provider Mental Health Counselor · NPI 1477766376

Kevin Maxwell, LPT is a Mental Health Counselor in San Luis Obispo, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2007

Practice location Address checks out

2178 Johnson Ave
San Luis Obispo, CA 93401-4535
Phone: (805) 781-4741
Fax: (805) 781-1232
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence PT30081 (CA)

Record details

NPI number1477766376
Entity typeIndividual (Type 1)
GenderMale
Credentials LPT
Sole proprietorYes
NPI enumeratedMay 7, 2007
Last updated in NPPESJuly 8, 2007

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