Organization Active NPI

Yuna Kim Counseling, PLLC

  • Clinical Social Worker
  • Holly Springs, NC
National Provider Identifier
1164015582
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
YUNA KIM COUNSELING, PLLC
Practice address
300 W Earp St Ste K
Holly Springs, NC 27540-8763
Phone
(609) 759-0423
Fax
(609) 710-1805
NPI assigned
Feb 17, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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

Authorized official

Name
Yuna KimNPI 1457688087
Title
Owner
Phone
(609) 759-0423

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
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

300 W Earp St Ste K
Holly Springs, NC 27540-8763

Mailing address

300 W Earp St Ste K
Holly Springs, NC 27540-8763
Phone (609) 759-0423

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230725000676 NC Part B Supplier - Clinic/Group Practice 6204242852 Receives reassigned benefits from 1 practitioner
Practice locations: Holly Springs, NC

National Provider Directory

National Provider Directory

Locations

1378 Route 206
Ste 6242
Skillman, NJ 08558

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": "1613520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774224000000",
    "number": "1164015582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W EARP ST STE K",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275408763",
            "telephone_number": "609-759-0423",
            "fax_number": "609-710-1805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W EARP ST STE K",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275408763",
            "telephone_number": "609-759-0423",
            "fax_number": "609-710-1805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YUNA KIM COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-17",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "YUNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-759-0423"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holly Springs, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.