Sung Cheol Kim, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

0024174971 Issued in VA

Practice address

1900 Byrd Ave
Richmond, VA 23230-3033

Phone

(804) 592-6311

Fax

(844) 744-0273

NPI assigned

Jun 22, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA, DC2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• MCV Associated Physicians

  • Anesthesiology Physician
  • Richmond, VA
  • NPI 1710959457
  Medicare reassignment
• Thrive Counseling LLC

  • Mental Health Counselor
  • Lynchburg, VA
  • NPI 1215181300

  DC

  Medicare reassignment
• Richmond Creative Counseling

  • Adult Mental Health Clinic/Center
  • North Chesterfield, VA
  • NPI 1285322628

  Psychiatric/Mental Health

  NPD (past)
• Richmond Creative Counseling, LLC

  • Professional Counselor
  • Richmond, VA
  • NPI 1689016735
  NPD (past)
• Virginia Commonwealth University Health System Authority

  • Clinic Pharmacy
  • Richmond, VA
  • NPI 1659456077
  NPD (past)

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

{
    "created_epoch": "1498089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764633600000",
    "number": "1154841948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 BYRD AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232303033",
            "telephone_number": "804-592-6311",
            "fax_number": "844-744-0273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 BYRD AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232303033",
            "telephone_number": "804-592-6311",
            "fax_number": "844-744-0273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "SUNG CHEOL",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-22",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024174971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Moon-Jun Brian Kim, MD
• Natalie Jeongmin Nelson Kim, DO
• Ray Kim, MS, ATC, LAT
• Scott Kim
• Seong Kim, MPA
• Timothy Suyong Kim, MD
• William Tae-Shick Kim, MD
• Leslie A. Kimball, PH.D, LCP
• Mollie A Kimball, LPC
• Pamela Marie Kimball, PH.D.

• Psychiatric/Mental Health Nurse Practitioner in Richmond, VA
• Providers in Richmond, VA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.