Active NPI
Kimberly Burton, Inc.
- Mental Health Counselor
- Stockton, CA
National Provider Identifier
1295613685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- KIMBERLY BURTON, INC.
- Practice address
- 4750 Quail Lakes Dr Ste C5
Stockton, CA 95207-6471 - Phone
- (209) 406-2538
- NPI assigned
- Aug 25, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Kimberly Ahn Burton, MA
- Title
- Therapist
- Phone
- (209) 406-2538
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
4750 Quail Lakes Dr Ste C5
Stockton, CA 95207-6471
Mailing address
2905 Sebastan LN
Stockton, CA 95212-2845
Phone (209) 471-1259
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
4750 Quail Lakes Dr
Ste C5
Stockton, CA 95207
Phone (209) 406-2538
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756080000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1756080000000",
"number": "1295613685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2905 SEBASTAN LN",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952122845",
"telephone_number": "209-471-1259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4750 QUAIL LAKES DR STE C5",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952076471",
"telephone_number": "209-406-2538"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KIMBERLY BURTON, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2025-08-25",
"last_updated": "2025-08-25",
"certification_date": "2025-08-24",
"status": "A",
"authorized_official_last_name": "BURTON",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_middle_name": "AHN",
"authorized_official_title_or_position": "THERAPIST",
"authorized_official_telephone_number": "209-406-2538",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "MA"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.