Charles Kim

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH21072 Issued in FL

Practice address

7950 NW 53Rd St Ste 337
Miami, FL 33166-4791

Phone

(786) 763-0006

NPI assigned

Feb 22, 2023

Sex

Male

Sole proprietor

No

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

Locations

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.

• Kim Therapy Group PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Miami, FL
  • NPI 1114747326
  NPD Authorized official

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

{
    "created_epoch": "1677024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728691200000",
    "number": "1093413601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 660065",
            "city": "MIAMI SPRINGS",
            "state": "FL",
            "postal_code": "332660065",
            "telephone_number": "202-222-5369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7950 NW 53RD ST STE 337",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331664791",
            "telephone_number": "786-763-0006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "267 Miami Springs Ave",
            "address_purpose": "LOCATION",
            "city": "Miami Springs",
            "state": "FL",
            "postal_code": "331664904",
            "country_code": "US",
            "telephone_number": "202-222-5369",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "CHARLES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-22",
        "last_updated": "2024-10-12",
        "certification_date": "2024-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH21072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam T Kilmer, MASAGE THERAPIST
• Lee Hakami Kilmer, MD
• Kilo RBT Services Corp
• Kim Therapy Group PLLC
• Alice Kim, OD
• Christine Kim, LMFT
• Claire Doyeon Kim, MD
• Han Jun Kim, MD
• Minsoo Kim, MD, PHD
• Rachel Ji-Aeh Kim, MD

• Mental Health Counselor in Miami, FL
• Providers in Miami, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2024; 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.