Colette E Kim, LCSW

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

21394 Issued in TX

Practice address

1870 Crown Dr Ste 1520
Farmers Branch, TX 75234-9406

Phone

(214) 766-9998

NPI assigned

Apr 11, 2019

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)

Enrolled

State licenses

Practice roles

Locations

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.

• CK Counseling

  • Professional Counselor
  • Dallas, TX
  • NPI 1467012997
  NPD Authorized official

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

{
    "created_epoch": "1554940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554940800000",
    "number": "1316400799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 INGLEWOOD DR",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750285130",
            "telephone_number": "214-766-9998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1870 CROWN DR STE 1520",
            "city": "FARMERS BRANCH",
            "state": "TX",
            "postal_code": "752349406",
            "telephone_number": "214-766-9998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "COLETTE",
        "middle_name": "E",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-11",
        "last_updated": "2019-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "21394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neelum Kamalia
• Alan H Kan
• Sarah Marie Kautzor
• Junaid I Khan
• Kaitlin Kiley
• Hyojin Kim
• Takeru William Kitagawa-Barnes
• Jennifer Klutka, PHARMD
• Lovasia Elizabeth Kondeti
• Ansar Hussain Lakhani

• Professional Counselor in Farmers Branch, TX
• Providers in Farmers Branch, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.

Verify at the official NPI Registry.