Individual provider Active NPI

Kimberly Burdine, PH.D.

  • Counseling Psychologist
  • Norman, OK
National Provider Identifier
1275348179
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
1481 Issued in OK
Practice address
620 Elm Ave RM 201
Norman, OK 73019-3142
Phone
(405) 325-2911
NPI assigned
Feb 10, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 36914 TX
Counseling Psychologist 103TC1900X 1481 OK Primary

Addresses

Primary practice location

620 Elm Ave RM 201
Norman, OK 73019-3142

Mailing address

14902 Preston Rd. Ste 404
Unit 374
Dallas, TX 75254

Other practice location 1

14902 Preston Rd. Ste 404
Unit 374
Dallas, TX 75254
Phone (972) 277-1535

Other practice location 2

4445 N Lincoln Blvd Unit 408
Oklahoma City, OK 73105-5113
Phone (972) 277-1535

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
36914TXMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Charles B Goddard Health Center Counseling at the University of Ok PastSince Feb 23, 2025 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1739145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1275348179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14902 PRESTON RD. STE 404",
            "address_2": "UNIT 374",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 ELM AVE RM 201",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730193142",
            "telephone_number": "405-325-2911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14902 Preston Rd. Ste 404",
            "address_2": "Unit 374",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "75254",
            "country_code": "US",
            "telephone_number": "972-277-1535",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4445 N Lincoln Blvd Unit 408",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731055113",
            "country_code": "US",
            "telephone_number": "972-277-1535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURDINE",
        "first_name": "KIMBERLY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-10",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "TX",
            "license": "36914",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "OK",
            "license": "1481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.