Active NPI
Juhee Kim
- Professional Counselor
- Austin, TX
National Provider Identifier
1124550454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 88550
- Practice address
- 10727 Domain Dr Apt 176
Austin, TX 78758-5044 - Phone
- (773) 988-8793
- NPI assigned
- Mar 28, 2017
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 002550 | CT | |
| Professional Counselor | 101YP2500X | 180011889 | IL | |
| Professional Counselor | 101YP2500X | 88550 | TX | Primary |
Addresses
Primary practice location
10727 Domain Dr Apt 176
Austin, TX 78758-5044
Mailing address
10727 Domain Dr Apt 176
Austin, TX 78758-5044
Phone (773) 988-8793
Other practice location 1
309 W Clark St
Champaign, IL 61820-4637
Phone (217) 552-1211
Other practice location 2
4F, Dosan-daero 27 gil, Gangnam-gu
Seoul, Seoul 06032
KR
Phone 82234437495
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 |
|---|---|---|---|
| 002550 | CT | MD | Professional Counselor |
| 180011889 | IL | MD | Professional Counselor |
| 88550 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652313600000",
"number": "1124550454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10727 DOMAIN DR APT 176",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787585044",
"telephone_number": "773-988-8793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10727 DOMAIN DR APT 176",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787585044",
"telephone_number": "773-988-8793"
}
],
"practiceLocations": [
{
"address_1": "309 W Clark St",
"address_purpose": "LOCATION",
"city": "Champaign",
"state": "IL",
"postal_code": "618204637",
"country_code": "US",
"telephone_number": "217-552-1211",
"fax_number": "217-398-9077",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4F, Dosan-daero 27 gil, Gangnam-gu",
"address_purpose": "LOCATION",
"city": "Seoul",
"state": "Seoul",
"postal_code": "06032",
"country_code": "KR",
"telephone_number": "82234437495",
"country_name": "Korea, Republic of",
"address_type": "FGN"
}
],
"basic": {
"last_name": "KIM",
"first_name": "JUHEE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-03-28",
"last_updated": "2022-05-12",
"certification_date": "2022-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CT",
"license": "002550",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180011889",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "88550",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.