MISS KIMBERLY LYLES BUTTS
NPI 1073099552
Peer Specialist in San Leandro, CA

Active since July 17, 2018
545 ESTUDILLO AVE, SAN LEANDRO, CA 94577(510) 352-9200 Get Directions Write a Review

NPPES record last updated: February 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 7, 2025, Dec 15, 2024, Oct 2, 2024 and 1 more (4 updates tracked since 2018).

About Miss Kimberly Lyles Butts NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISS KIMBERLY LYLES BUTTS (NPI 1073099552) is an individual peer specialist in San Leandro, California and active in the NPI registry since July 2018. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1073099552
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameMISS KIMBERLY LYLES BUTTS
Location Address545 ESTUDILLO AVESan Leandro, CA 94577-4611
Mailing Address1065 A StHayward, CA 94541-4148 · (510) 459-5294
Sole ProprietorYes
Enumeration DateJuly 17, 2018
Last NPPES UpdateFebruary 7, 20254 updates tracked since enumeration
NPPES CertifiedFebruary 7, 2025
NPI 1073099552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedCommunity Health WorkerTaxonomy 172V00000X · License MPSS-MKHLRT (CA)
545 ESTUDILLO AVE, San Leandro, CA 94577

Secondary Practice Locations 2

Location 11515 Market StOakland, CA 94607-5001 · Phone (510) 730-5687
Location 2545 Estudillo AveSan Leandro, CA 94577-4611 · Phone (510) 352-9200 ext. 201

Other Identifiers 1

OtherB9627718CA · California Id

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
545 ESTUDILLO AVE
SAN LEANDRO, CA 94577
Marriage & Family Therapist
545 ESTUDILLO AVE
SAN LEANDRO, CA 94577
Social Worker (Clinical)
545 ESTUDILLO AVE
SAN LEANDRO, CA 94577
Behavior Analyst
545 ESTUDILLO AVE
SAN LEANDRO, CA 94577
Marriage & Family Therapist
545 ESTUDILLO AVE
SAN LEANDRO, CA 94577
Counselor
545 ESTUDILLO AVE
SAN LEANDRO, CA 94577
Marriage & Family Therapist
545 ESTUDILLO AVE
SAN LEANDRO, CA 94577
Community Health Worker
545 ESTUDILLO AVE
SAN LEANDRO, CA 94577

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Butts's NPI number?

The NPI number for Kimberly Butts is 1073099552. It was assigned to this individual provider in the NPPES registry on July 17, 2018.

Where is Kimberly Butts located?

Kimberly Butts practices at 545 Estudillo Ave, San Leandro, CA 94577. The listed phone number is (510) 352-9200.

What is Kimberly Butts's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Kimberly Butts was last updated on February 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.