Active NPI
Christine S. Kim, LCPC
- Mental Health Counselor
- Glen Ellyn, IL
National Provider Identifier
1093639551
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 180.018562
- Practice address
- 800 Roosevelt Rd., BLDG C, Suite 206
Glen Ellyn, IL 60137 - Phone
- (630) 423-5935
- NPI assigned
- Aug 7, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 | 180.018562 | IL | Primary |
Addresses
Primary practice location
800 Roosevelt Rd., BLDG C, Suite 206
Glen Ellyn, IL 60137
Mailing address
800 Roosevelt Rd., BLDG C, Suite 206
Glen Ellyn, IL 60137
Phone (630) 423-5935
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1786060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786060800000",
"number": "1093639551",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 ROOSEVELT RD., BLDG C, SUITE 206",
"city": "GLEN ELLYN",
"state": "IL",
"postal_code": "60137",
"telephone_number": "630-423-5935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 ROOSEVELT RD., BLDG C, SUITE 206",
"city": "GLEN ELLYN",
"state": "IL",
"postal_code": "60137",
"telephone_number": "630-423-5935"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "CHRISTINE",
"middle_name": "S.",
"credential": "LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-08-07",
"last_updated": "2026-08-07",
"certification_date": "2026-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": "180.018562",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glen Ellyn, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.