Organization Active NPI

Mi Ae Kim, Licensed Marriage and Family Therapy, Inc.

  • Marriage & Family Therapist
  • Pasadena, CA
National Provider Identifier
1124923073
Registry record updated Oct 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
MI AE KIM, LICENSED MARRIAGE AND FAMILY THERAPY, INC.
Practice address
595 E Colorado Blvd Ste 412
Pasadena, CA 91101-2018
Phone
(707) 733-6749
NPI assigned
Oct 12, 2026
Last updated
Oct 12, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2026

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

Authorized official

Name
Mi Ae Kim, LMFTNPI 1942907969
Title
Ceo
Phone
(213) 804-0175

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
Marriage & Family Therapist 106H00000X Primary

Addresses

Primary practice location

595 E Colorado Blvd Ste 412
Pasadena, CA 91101-2018

Mailing address

595 E Colorado Blvd Ste 412
Pasadena, CA 91101-2018
Phone (707) 733-6749

Other practice location 1

19140 Blackhawk St
Porter Ranch, CA 91326-3300
Phone (213) 804-0175

National Provider Directory

National Provider Directory

Locations

595 E Colorado Blvd
Ste 412
Pasadena, CA 91101
Phone (626) 798-1499

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1791763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791763200000",
    "number": "1124923073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 E COLORADO BLVD STE 412",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911012018",
            "telephone_number": "707-733-6749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 E COLORADO BLVD STE 412",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911012018",
            "telephone_number": "707-733-6749"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19140 Blackhawk St",
            "address_purpose": "LOCATION",
            "city": "Porter Ranch",
            "state": "CA",
            "postal_code": "913263300",
            "country_code": "US",
            "telephone_number": "213-804-0175",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MI AE KIM, LICENSED MARRIAGE AND FAMILY THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-12",
        "last_updated": "2026-10-12",
        "certification_date": "2026-10-11",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "MI AE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "213-804-0175",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2026; 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.