Haedong Kim

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LCM1197 Issued in MD

Practice address

6931 Arlington Rd Ste 440
Bethesda, MD 20814-5231

Phone

(240) 424-5328

NPI assigned

Jan 13, 2023

Last updated

Apr 17, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• H. Shawn Kim Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective May 4, 2026 through May 4, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1673568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776384000000",
    "number": "1033823026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8000 YORK RD, COLLEGE OF LIBERAL ARTS, RM. 2234",
            "address_2": "DEPT. OF FAMILY STUDIES & COMMUNITY DEVELOPMENT",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "21252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6931 ARLINGTON RD STE 440",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208145231",
            "telephone_number": "240-424-5328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "HAEDONG",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-01-13",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MD",
            "license": "LGM542",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MD",
            "license": "LCM1197",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "VA",
            "license": "0717002646",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "H. SHAWN",
            "last_name": "KIM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Elizabeth Kim
• Eungjae Kim, MD
• Gee Sup Kim, MD
• Geoffrey Kim, M.D.
• Gregory Jaeduk Kim, PHARMD
• Hyuntae Kim
• Ick Ho Kim, NP-C
• Jae Hoon Kim, CRNP-PMH
• Janet Kim, L.AC
• Jinmin Kim

• Marriage & Family Therapist in Bethesda, MD
• Providers in Bethesda, MD by specialty
• Marriage & Family Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.