Amy Kim, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401018276 Issued in MI

Practice address

1644 Blushing CT
Rochester Hills, MI 48307-3584

Phone

(248) 856-8628

NPI assigned

May 7, 2020

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Amy Kim Professional Counseling Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Rochester Hills, MI
  • NPI 1205445020
  NPD Authorized official

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

{
    "created_epoch": "1588809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588809600000",
    "number": "1083236574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1644 BLUSHING CT",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483073584",
            "telephone_number": "248-856-8628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1644 BLUSHING CT",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483073584",
            "telephone_number": "248-856-8628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "AMY",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-07",
        "last_updated": "2020-05-07",
        "certification_date": "2020-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401018276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deanne Elizabeth Kiba, DO, FAARFM
• Kidz 1St, P.L.L.C.
• Marie Killius, NP-C
• Kim M Almodovar MD PLC
• Achin Kim, M.D.
• Julia Kimball, C-PNP
• Nada Kinaya, FNP
• Neil Gregory King, PT
• Seth King, DPT
• Kaitlen Kinney

• Professional Counselor in Rochester Hills, MI
• Providers in Rochester Hills, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2020; 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.