Active NPI
Hannah Kim, LPC
- Professional Counselor
- Plymouth Meeting, PA
National Provider Identifier
1194389957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC011161
- Practice address
- 512 Township Line Rd
Plymouth Meeting, PA 19462-1001 - Phone
- (610) 825-4440
- NPI assigned
- Apr 26, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC011161 | PA | Primary |
Addresses
Primary practice location
512 Township Line Rd
Plymouth Meeting, PA 19462-1001
Mailing address
150 Oakland Ave Apt B303
Lansdale, PA 19446-3237
Other practice location 1
512 Township Line Rd
Plymouth Meeting, PA 19462-1001
Phone (610) 825-4440
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 |
|---|---|---|---|
| PC011161 | PA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gemma Services | Past | Accepting new patients | |
| Azalea Counseling, LLC | Past | Accepting new patients | |
| Gemma Services | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Psychiatric Residential Treatment Facility
- Plymouth Meeting, PA
- NPI 1144310830
-
- Community/Behavioral Health Agency
- Philadelphia, PA
- NPI 1871394825
-
- Clinical Social Worker
- Savannah, GA
- NPI 1093565749
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556236800000",
"number": "1194389957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 OAKLAND AVE APT B303",
"city": "LANSDALE",
"state": "PA",
"postal_code": "194463237"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "512 TOWNSHIP LINE RD",
"city": "PLYMOUTH MEETING",
"state": "PA",
"postal_code": "194621001",
"telephone_number": "610-825-4440"
}
],
"practiceLocations": [
{
"address_1": "512 Township Line Rd",
"address_purpose": "LOCATION",
"city": "Plymouth Meeting",
"state": "PA",
"postal_code": "194621001",
"country_code": "US",
"telephone_number": "610-825-4440",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIM",
"first_name": "HANNAH",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-04-26",
"last_updated": "2019-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC011161",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plymouth Meeting, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.