Bonnie Mija Kim, LCPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

180.01.14880 Issued in IL

Practice address

4200 Euclid Ave Ste 104
Rolling Meadows, IL 60008-2083

Phone

(847) 917-9974

NPI assigned

Sep 20, 2025

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

Enrolled in IL

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

Specialty

Mental Health Counselor

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mosaic Wholeness Center LLCGroup PAC ID 2163918723, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Mosaic Wholeness Center LLC

  • Professional Counselor
  • Rolling Meadows, IL
  • NPI 1245110782
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1758326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758326400000",
    "number": "1336011287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 EUCLID AVE STE 104",
            "city": "ROLLING MEADOWS",
            "state": "IL",
            "postal_code": "600082083",
            "telephone_number": "847-917-9974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 EUCLID AVE STE 104",
            "city": "ROLLING MEADOWS",
            "state": "IL",
            "postal_code": "600082083",
            "telephone_number": "847-917-9974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "BONNIE",
        "middle_name": "MIJA",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-20",
        "last_updated": "2025-09-20",
        "certification_date": "2025-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "180.01.14880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wayne David Kelly, MD
• Mark Allen Keresztesy, D.C.
• Kelly Ann Keyzer, DPT
• Basharath Mohammed Ali Khan, MD
• Saad Khan
• Steven S Kim, MD
• Sujin G Kim, D.P.M.
• Amr E. Abdel Kireem, LCPC
• John Klemenz, R. PH.
• Judith Marie Knipple, M.D.

• Counselor in Rolling Meadows, IL
• Providers in Rolling Meadows, IL by specialty
• Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.