Active NPI
Judy Eunjoo Kim
- Mental Health Counselor
- Brea, CA
National Provider Identifier
1093448904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 451 W Lambert Rd Ste 202
Brea, CA 92821-3920 - Phone
- (949) 974-6532
- NPI assigned
- Jul 7, 2022
- Last updated
- Jul 7, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
451 W Lambert Rd Ste 202
Brea, CA 92821-3920
Mailing address
12331 Charlwood St
Cerritos, CA 90703-8416
Phone (562) 556-1213
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alle Herz Psychotherapy, Apc | Past | Accepting new patients | |
| Congruent Lives Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Marriage & Family Therapist
- Brea, CA
- NPI 1134729858
-
- Marriage & Family Therapist
- Brea, CA
- NPI 1184181786
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657152000000",
"number": "1093448904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12331 CHARLWOOD ST",
"city": "CERRITOS",
"state": "CA",
"postal_code": "907038416",
"telephone_number": "562-556-1213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "451 W LAMBERT RD STE 202",
"city": "BREA",
"state": "CA",
"postal_code": "928213920",
"telephone_number": "949-974-6532"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "JUDY",
"middle_name": "EUNJOO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-07",
"last_updated": "2022-07-07",
"certification_date": "2022-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brea, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.