Young Kyong Kim, PH.D., LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFT001237 Issued in GA

Practice address

4530 South Berkeley la
Pathway Center for Psychotherapy
Norcross, GA 30071

Phone

(770) 446-5642

Fax

(770) 446-5643

NPI assigned

Aug 30, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Elena Kim Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1314662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488153600000",
    "number": "1043591563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4530 SOUTH BERKELEY LAKE ROAD",
            "address_2": "PATHWAY CENTER FOR PSYCHOTHERAPY",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "30071",
            "telephone_number": "770-446-5642",
            "fax_number": "770-446-5643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4530 SOUTH BERKELEY LA",
            "address_2": "PATHWAY CENTER FOR PSYCHOTHERAPY",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "30071",
            "telephone_number": "770-446-5642",
            "fax_number": "770-446-5643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "YOUNG",
        "middle_name": "KYONG",
        "name_prefix": "Dr.",
        "credential": "PH.D., LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-30",
        "last_updated": "2017-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "GA",
            "license": "MFT001237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELENA",
            "last_name": "KIM",
            "prefix": "DR.",
            "credential": "PH.D., LMFT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Gene Young Kim
• June J Kim, DMD
• Martin Kim
• Sung Woo Kim
• Tae Young Kim, PT
• King David Community Center of Atlanta, Inc.
• Ko-Am Gwinnett Medical
• Yeunie Ko
• Dmitri Kodor, PA-C
• Keila Jenae Kolden

• Marriage & Family Therapist in Norcross, GA
• Providers in Norcross, GA by specialty
• Marriage & Family Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.