Active NPI
Kimberly Jo Scipione, LPC
- Professional Counselor
- Vacaville, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6571
- Practice address
- 7188 Gibson Canyon Rd
Vacaville, CA 95688-9708 - Phone
- (720) 383-8311
- NPI assigned
- Sep 12, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSB94028908 | CA | |
| Professional Counselor | 101YP2500X | 6571 | CO | Primary |
Addresses
Primary practice location
7188 Gibson Canyon Rd
Vacaville, CA 95688-9708
Mailing address
9695 S Yosemite St
Lone Tree, CO 80124-2888
Phone (720) 383-8311
Other practice location 1
9695 S Yosemite St Ste 372
Lone Tree, CO 80124-2890
Phone (720) 383-8311
Other practice location 2
17728 Sierra Hwy
Santa Clarita, CA 91351-1635
Phone (661) 360-7730
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720338221 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
7188 Gibson Canyon Rd
Vacaville, CA 95688-9708
Phone (720) 383-8311
7629 S Country Club Pkwy
Aurora, CO 80016-1243
Phone (720) 383-8311
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSB94028908 | CA | MD | Clinical Psychologist |
| 6571 | CO | MD | Clinical Psychologist |
| 11305 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pure Autism Counseling Center Inc | Current | Accepting new patients |
Locations
17728 Sierra Hwy
Santa Clarita, CA 91351
Phone (661) 360-7730
17702 Sierra Hwy
Santa Clarita, CA 91351
Phone (888) 770-5222
Interoperability endpoints
- https://api.platform.athenahealth.com/19641/brand/1/csg/1/fhir/r4
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Santa Clarita, CA
- NPI 1649737735
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755216000000",
"number": "1720338221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9695 S YOSEMITE ST",
"city": "LONE TREE",
"state": "CO",
"postal_code": "801242888",
"telephone_number": "720-383-8311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7188 GIBSON CANYON RD",
"city": "VACAVILLE",
"state": "CA",
"postal_code": "956889708",
"telephone_number": "720-383-8311"
}
],
"practiceLocations": [
{
"address_1": "9695 S Yosemite St Ste 372",
"address_purpose": "LOCATION",
"city": "Lone Tree",
"state": "CO",
"postal_code": "801242890",
"country_code": "US",
"telephone_number": "720-383-8311",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "17728 Sierra Hwy",
"address_purpose": "LOCATION",
"city": "Santa Clarita",
"state": "CA",
"postal_code": "913511635",
"country_code": "US",
"telephone_number": "661-360-7730",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCIPIONE",
"first_name": "KIMBERLY",
"middle_name": "JO",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-09-12",
"last_updated": "2025-08-15",
"certification_date": "2025-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSB94028908",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "6571",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1720338221",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vacaville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2025; 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.