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KIMBERLY M HOLTON
NPI 1174057111
Social Worker - Clinical in Rancho Cucamonga, CA

Active since April 17, 2017PECOS Enrolled
10630 TOWN CENTER DR STE 111, RANCHO CUCAMONGA, CA 91730(909) 277-3212 Get Directions Write a Review

NPPES record last updated: October 17, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 17, 2023, Jan 29, 2023, Apr 17, 2017 (3 updates tracked since 2017).

About Kimberly M Holton NPPES

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

KIMBERLY M HOLTON (NPI 1174057111) is an individual clinical provider in Rancho Cucamonga, California, licensed in California (103819) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174057111
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKIMBERLY M HOLTON
Location Address10630 TOWN CENTER DR STE 111Rancho Cucamonga, CA 91730-6888
Mailing Address5172 Arlington Ave # 4221Riverside, CA 92504-2686 · (951) 465-5366
Phone(909) 277-3212
Sole ProprietorYes
Enumeration DateApril 17, 2017
Last NPPES UpdateOctober 17, 20233 updates tracked since enumeration
NPPES CertifiedOctober 17, 2023
✔ NPI 1174057111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · 103819
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
10630 TOWN CENTER DR STE 111, Rancho Cucamonga, CA 91730
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberly M Holton is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Kimberly Holton reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Kimberly M Holton
Same address
Clinical
10630 TOWN CENTER DR STE 111
Rancho Cucamonga, CA 91730
  • Reassigned Medicare billing, California enrollment
NPI 1306526538 (909) 277-3212
Sud Specialty Group - Ca
335 mi
Addiction Medicine
4633 OLD IRONSIDES DR STE 304
Santa Clara, CA 95054
  • Reassigned Medicare billing, California enrollment
  • 1,607 clinicians in this Medicare group
NPI 1972138238 (323) 205-7088

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91730 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $59.60 – $179.42
Typical copayment $0.00 (range $14.90 – $44.85)
Most-billed visit code NA
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

KIMBERLY M HOLTON
Social Worker (Clinical)
10630 TOWN CENTER DR STE 111
RANCHO CUCAMONGA, CA 91730
San Bernardino County (909) 277-3212
SKECOUNSELING LLC
Social Worker (Clinical)
10630 TOWN CENTER DR STE 111
RANCHO CUCAMONGA, CA 91730
San Bernardino County (909) 395-7607

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 Holton's NPI number?

The NPI number for Kimberly Holton is 1174057111. It was assigned to this individual provider in the NPPES registry on April 17, 2017.

Where is Kimberly Holton located?

Kimberly Holton practices at 10630 Town Center Dr Ste 111, Rancho Cucamonga, CA 91730. The listed phone number is (909) 277-3212.

What is Kimberly Holton's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Kimberly Holton enrolled in Medicare?

Yes. Kimberly Holton is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kimberly Holton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Holton reassigns Medicare benefits to 2 organizations: Kimberly M Holton (Rancho Cucamonga, CA) and Sud Specialty Group - Ca (Santa Clara, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kimberly Holton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kimberly Holton accept?

Health plans from Blue Cross and Blue Shield of Texas list Kimberly Holton as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kimberly Holton was last updated on October 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.