Individual provider · Type 1 NPI

Kimberly Lyles Butts

Peer Specialist · San Leandro, CA

NPI number 1073099552 Active

Practice location

545 Estudillo Ave
San Leandro, CA 94577-4611

Call (510) 352-9200 Map

Mailing address

1065 A St
Hayward, CA 94541-4148

Other practice locations

  • 1515 Market St, Oakland, CA 94607-5001 · (510) 730-5687
  • 545 Estudillo Ave, San Leandro, CA 94577-4611 · (510) 352-9200

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Community Health Worker 172V00000XMPSS-MKHLRT (CA)
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: 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.

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About NPI 1073099552

Kimberly Lyles Butts's National Provider Identifier is 1073099552, issued on Jul 17, 2018. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in San Leandro, CA. The record was last updated on Feb 7, 2025.