Kimberly Burnett, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

9797033-3501 Issued in UT

Practice address

1031 S Bluff St Ste 214
St George, UT 84770-5206

Phone

(801) 830-0349

NPI assigned

Oct 2, 2014

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in UT

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.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Burnett Counseling, LLC

  • Community/Behavioral Health Agency
  • St George, UT
  • NPI 1538736012

  UT

  Medicare reassignment NPD Authorized official
• Chrysalis Utah, LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Orem, UT
  • NPI 1891898045

  UT

  Medicare reassignment NPD
• Chrysalis Utah, Inc.

  • Mental Health Counselor
  • Provo, UT
  • NPI 1356843114
  NPD (past)
• Perfetto Clinical Contracting, Inc

  • Foster Care Agency
  • Murray, UT
  • NPI 1497071419
  NPD (past)
• Starlight Program

  • Foster Care Agency
  • Murray, UT
  • NPI 1033539895
  NPD (past)

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

{
    "created_epoch": "1412208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697500800000",
    "number": "1487057584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1031 S BLUFF ST STE 214",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847705206",
            "telephone_number": "801-830-0349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1031 S BLUFF ST STE 214",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847705206",
            "telephone_number": "801-830-0349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNETT",
        "first_name": "KIMBERLY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-02",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "9797033-3501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8717635",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shaydon Burke
• Hope Burkett, D.O.
• Judson Burkett
• Burnett Counseling, LLC
• Bonnie A Burnett, APRN
• Bradon Clark Burningham, PA-C
• Sandi K. Burningham, L.P.C., L.S.A.C.
• Trenton Burr
• Tara Burrei
• Victoria R Burroughs, PT, DPT

• All providers in St George, UT
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.