Angela Rae Kim

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

M.2300257 Issued in OH

Practice address

130 E Wilson Bridge Rd Ste 327
Worthington, OH 43085-1115

Phone

(614) 450-2889

Fax

(614) 413-2564

NPI assigned

Feb 15, 2022

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1644883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686960000000",
    "number": "1164177465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 CROSS COUNTRY DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432352113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 E WILSON BRIDGE RD STE 327",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430851115",
            "telephone_number": "614-450-2889",
            "fax_number": "614-413-2564"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4937 W Broad St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432281646",
            "country_code": "US",
            "telephone_number": "614-379-3280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "ANGELA",
        "middle_name": "RAE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-15",
        "last_updated": "2023-06-17",
        "certification_date": "2023-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OH",
            "license": "M.2300257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly Kidwell
• Mandy J Kienzle
• Kathryn Marie Kiggins
• Tina Kiley
• Afet Kilinc, PH.D., PCC-SC
• Eugenia L Kim, D.O.
• Joysiaeli Cuthbert Kimambo
• Georgia Emily Kinch, LPCC
• Christina R King, CNP
• Destinee King

• Marriage & Family Therapist in Worthington, OH
• Providers in Worthington, OH by specialty
• Marriage & Family Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2023; 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.