Kim Burris, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

98927 Issued in CA

Practice address

1192 Suncast LN Ste 2a
El Dorado Hills, CA 95762-9330

Phone

(916) 467-9539

NPI assigned

Jul 26, 2018

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kim Burris, Marriage and Family Therapy, Inc.

  • Marriage & Family Therapist
  • El Dorado Hills, CA
  • NPI 1598353559
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1532563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609804800000",
    "number": "1255818837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1192 SUNCAST LN STE 2A",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957629330",
            "telephone_number": "916-467-9539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1192 SUNCAST LN STE 2A",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957629330",
            "telephone_number": "916-467-9539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURRIS",
        "first_name": "KIM",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-26",
        "last_updated": "2021-01-05",
        "certification_date": "2021-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "98927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Michelle Burcham, MS, CCC-SLP
• Jordan Burgess
• Mashaya E Burke
• Allyse Burns, MS, OTR/L
• Susan M Burnside, CMT
• Lindy Palmer Burtis, D.V.M.
• Kelsey Butler
• Madison Butolph
• Amanda Byrd, PHARMD.
• Karlea Byrne

• Marriage & Family Therapist in El Dorado Hills, CA
• Providers in El Dorado Hills, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.