Organization Active NPI

Kimberly Burton, Inc.

  • Mental Health Counselor
  • Stockton, CA
National Provider Identifier
1295613685
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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

Updated by the provider on Aug 25, 2025

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

Authorized official

Name
Ms. Kimberly Ahn Burton, MANPI 1720428584
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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20260113003112 CA Part B Supplier - Clinic/Group Practice 8628554276 Receives reassigned benefits from 1 practitioner
Practice locations: Stockton, CA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.