CHI Eun Kim, LPC, MMT, MT-BC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC012418 Issued in PA

Practice address

1364 Welsh Rd Ste C-1
North Wales, PA 19454-1913

Phone

(240) 688-8190

NPI assigned

Jun 19, 2020

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

Other names 1

• Beatrice Kim Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1592524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626393600000",
    "number": "1346866951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "VEVA BUILDING 12, 1777 SENTRY PKWY W",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "19422",
            "telephone_number": "267-585-4402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1364 WELSH RD STE C-1",
            "city": "NORTH WALES",
            "state": "PA",
            "postal_code": "194541913",
            "telephone_number": "240-688-8190"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1777 Sentry Pkwy W Ste 300",
            "address_purpose": "LOCATION",
            "city": "Blue Bell",
            "state": "PA",
            "postal_code": "194222211",
            "country_code": "US",
            "telephone_number": "240-688-8190",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "CHI EUN",
        "credential": "LPC, MMT, MT-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-19",
        "last_updated": "2021-07-16",
        "certification_date": "2021-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC012418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BEATRICE",
            "last_name": "KIM",
            "credential": "LPC, MMT, MT-BC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kristine Kershner, MS, LPC
• Ketan Patel MDPC
• Tapan Kikani, PT, PHD
• He-Kyung Kim-Yu, D.M.D.
• Alice Eun Kim, L.AC
• Hyeon Kim, PHARMD
• Hyun Ju Kim
• Kwang-Sik Kim, R.PH
• Tae Soo Kim, DMD
• Kindway Home Care, LLC

• Professional Counselor in North Wales, PA
• Providers in North Wales, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2021; 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.