Active NPI
Aram Kim
- Marriage & Family Therapist
- Bellevue, WA
National Provider Identifier
1104510114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MG61345187
- Practice address
- 1400 114TH Ave SE
Suite 100
Bellevue, WA 98004 - Phone
- (971) 801-2054
- NPI assigned
- Jun 5, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MG61345187 | WA | |
| Marriage & Family Therapist | 106H00000X | MG61345187 | WA | Primary |
Addresses
Primary practice location
1400 114TH Ave SE
Suite 100
Bellevue, WA 98004
Mailing address
3537 SW 112TH St
Seattle, WA 98146-1611
Phone (510) 833-0785
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MG61345187 | WA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Agaetra Family Therapy | Mental Health | Current | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687132800000",
"number": "1104510114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3537 SW 112TH ST",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981461611",
"telephone_number": "510-833-0785"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 114TH AVE SE",
"address_2": "SUITE 100",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "98004",
"telephone_number": "971-801-2054"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "ARAM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-06-05",
"last_updated": "2023-06-19",
"certification_date": "2023-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "MG61345187",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "WA",
"license": "MG61345187",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.