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

Kristin Bloomer Archdeacon, LCSW

Individual provider Mental Health Counselor · NPI 1427759406

Kristin Bloomer Archdeacon, LCSW is a Mental Health Counselor in San Jose, California. Licensed in California. Registered with an NPI since 2023.

Licensed in
CA
In the registry since
2023
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

725 E Santa Clara St Ste 105
San Jose, CA 95112-1936
Phone: (408) 961-4645
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence LCSW80860 (CA)

Record details

NPI number1427759406
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMarch 15, 2023
Last updated in NPPESMarch 15, 2023
Certification dateMarch 15, 2023

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