Active NPI
Jinhee Kang, PHD, LP
- Counseling Psychologist
- Silver Spring, MD
National Provider Identifier
1124308143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 05080
- Practice address
- 2024 Aquamarine Ter
Silver Spring, MD 20904-5362 - Phone
- (804) 338-2001
- NPI assigned
- Aug 22, 2011
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 0810003098 | VA | |
| Counseling Psychologist | 103TC1900X | 05080 | MD | Primary |
Addresses
Primary practice location
2024 Aquamarine Ter
Silver Spring, MD 20904-5362
Mailing address
2024 Aquamarine Ter
Silver Spring, MD 20904-5362
Phone (804) 338-2001
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0810003098 | VA | MD | Clinical Psychologist |
| 05080 | MD | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600646400000",
"number": "1124308143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2024 AQUAMARINE TER",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209045362",
"telephone_number": "804-338-2001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2024 AQUAMARINE TER",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209045362",
"telephone_number": "804-338-2001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANG",
"first_name": "JINHEE",
"credential": "PHD, LP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-08-22",
"last_updated": "2020-09-21",
"certification_date": "2020-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VA",
"license": "0810003098",
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "MD",
"license": "05080",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.