Organization Active NPI

Kim Therapy Group PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Miami, FL
National Provider Identifier
1114747326
Registry record updated Oct 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
KIM THERAPY GROUP PLLC
Practice address
7950 NW 53Rd St Ste 337
Miami, FL 33166-4791
Phone
(786) 763-0006
NPI assigned
Oct 12, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2024

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

Authorized official

Name
Charles Kim, LMHCNPI 1093413601
Title
Founder
Phone
(786) 763-0006

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

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

Mailing address

PO Box 660065
Miami Springs, FL 33266-0065
Phone (786) 763-0006

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1728691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728691200000",
    "number": "1114747326",
    "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": "786-763-0006"
        },
        {
            "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": [],
    "basic": {
        "organization_name": "KIM THERAPY GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-12",
        "last_updated": "2024-10-12",
        "certification_date": "2024-10-12",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "786-763-0006",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • 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.