Individual provider Active NPI

Michelle Heejung Kim, LMFT

  • Marriage & Family Therapist
  • Pasadena, CA
National Provider Identifier
1245470236
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
51341 Issued in CA
Practice address
595 E Colorado Blvd Ste 502
Pasadena, CA 91101-2017
Phone
(626) 765-4262
Fax
(626) 469-4392
NPI assigned
Mar 3, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 51341 CA Primary

Addresses

Primary practice location

595 E Colorado Blvd Ste 502
Pasadena, CA 91101-2017

Mailing address

708 W Sierra Madre Blvd Unit 40
Sierra Madre, CA 91024-2272
Phone (626) 765-4262

Other names 1

  • Hee Jung Kim Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260204002870 CA Practitioner - Marriage and Family Therapist 3173966504 Practice locations: Pasadena, CA

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

595 E Colorado Blvd
Suite 502
Pasadena, CA 91101-2017
Phone (626) 765-4262

708 W Sierra Madre Blvd
Unit 40
Sierra Madre, CA 91024-2272

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
51341CAMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1236038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1245470236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 W SIERRA MADRE BLVD UNIT 40",
            "city": "SIERRA MADRE",
            "state": "CA",
            "postal_code": "910242272",
            "telephone_number": "626-765-4262",
            "fax_number": "626-469-4392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 E COLORADO BLVD STE 502",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911012017",
            "telephone_number": "626-765-4262",
            "fax_number": "626-469-4392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "MICHELLE",
        "middle_name": "HEEJUNG",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-03",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "51341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEE JUNG",
            "last_name": "KIM",
            "credential": "LMFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.