Individual provider Active NPI

Carolyn Kim, MFT

  • Marriage & Family Therapist
  • Encino, CA
National Provider Identifier
1346590817
Registry record updated Feb 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT90023 Issued in CA
Practice address
16055 Ventura Blvd Ste 715
Encino, CA 91436-2610
Phone
(424) 532-0020
NPI assigned
Sep 12, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2026

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 MFT90023 CA Primary

Addresses

Primary practice location

16055 Ventura Blvd Ste 715
Encino, CA 91436-2610

Mailing address

16055 Ventura Blvd Ste 715
Encino, CA 91436-2610
Phone (424) 532-0020

Other practice location 1

11030 Santa Monica Blvd Ste 302
Los Angeles, CA 90025-7590
Phone (424) 532-0020 ext. 51300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Oct 15, 2024 through Oct 15, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MFT90023CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1347408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770163200000",
    "number": "1346590817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16055 VENTURA BLVD STE 715",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362610",
            "telephone_number": "424-532-0020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16055 VENTURA BLVD STE 715",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362610",
            "telephone_number": "424-532-0020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11030 Santa Monica Blvd Ste 302",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900257590",
            "country_code": "US",
            "telephone_number": "424-532-0020 x51300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "CAROLYN",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-12",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT90023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

Verify at the official NPI Registry.