Individual provider Active NPI

Kimberly Ahn Burton, LMFT

  • Marriage & Family Therapist
  • Stockton, CA
National Provider Identifier
1720428584
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
116284 Issued in CA
Practice address
4750 Quail Lakes Dr Ste C-5
Stockton, CA 95207-6471
Phone
(209) 406-2538
NPI assigned
Jun 26, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X IMF62967 CA
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X 116284 CA Primary

Addresses

Primary practice location

4750 Quail Lakes Dr Ste C-5
Stockton, CA 95207-6471

Mailing address

4750 Quail Lakes Dr Ste C-5
Stockton, CA 95207-6471
Phone (209) 406-2538

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20260205004102 CA Practitioner - Marriage and Family Therapist 7315466760 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2009
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2905 Sebastan LN
Stockton, CA 95212-2845

4750 Quail Lakes Dr
Stockton, CA 95207-5274

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
IMF62967CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kimberly Burton, Inc. Single Specialty CurrentSince May 31, 2025 Accepting new patients

Locations

4750 Quail Lakes Dr
Ste C5
Stockton, CA 95207
Phone (209) 406-2538

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": "1372204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1720428584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4750 QUAIL LAKES DR STE C-5",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952076471",
            "telephone_number": "209-406-2538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4750 QUAIL LAKES DR STE C-5",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952076471",
            "telephone_number": "209-406-2538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURTON",
        "first_name": "KIMBERLY",
        "middle_name": "AHN",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-26",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF62967",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "116284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

Verify at the official NPI Registry.