Individual provider Active NPI

Minjung Kim

  • Marriage & Family Therapist
  • Irvine, CA
National Provider Identifier
1114571882
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT163344 Issued in CA
Practice address
19742 Macarthur Boulevard
Suite 250
Irvine, CA 92612-2488
Phone
(714) 503-6550
Fax
(714) 409-3075
NPI assigned
Jul 30, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LMFT163344 CA Primary
Mental Health Counselor 101YM0800X 122710 CA

Addresses

Primary practice location

19742 Macarthur Boulevard
Suite 250
Irvine, CA 92612-2488

Mailing address

451 West Lincoln Avenue
Suite 100
Anaheim, CA 92805-2912
Phone (714) 503-6550

Other practice location 1

7212 Orangethorpe Avenue
Suite 9A
Buena Park, CA 90621-4668
Phone (714) 503-6550

Other practice location 2

451 West Lincoln Avenue
Suite 100
Anaheim, CA 92805-2912
Phone (714) 503-6550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260616003745 CA Practitioner - Marriage and Family Therapist 3274005608 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

103 Cordial
Irvine, CA 92620-2250

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
122710CAMDMental Health Counselor
LMFT163344CAMDMarriage & Family Therapist

Interoperability endpoints

  • Direct secure messaging: minjung.kim.p1@direct.kcs.nextgenshare.com

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": "1564444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780358400000",
    "number": "1114571882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 WEST LINCOLN AVENUE",
            "address_2": "SUITE 100",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928052912",
            "telephone_number": "714-503-6550",
            "fax_number": "714-409-3075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19742 MACARTHUR BOULEVARD",
            "address_2": "SUITE 250",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926122488",
            "telephone_number": "714-503-6550",
            "fax_number": "714-409-3075"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7212 Orangethorpe Avenue",
            "address_2": "Suite 9A",
            "address_purpose": "LOCATION",
            "city": "Buena Park",
            "state": "CA",
            "postal_code": "906214668",
            "country_code": "US",
            "telephone_number": "714-503-6550",
            "fax_number": "714-409-3075",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "451 West Lincoln Avenue",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Anaheim",
            "state": "CA",
            "postal_code": "928052912",
            "country_code": "US",
            "telephone_number": "714-503-6550",
            "fax_number": "714-409-3075",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "MINJUNG",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-30",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT163344",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "122710",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

Verify at the official NPI Registry.