Samuel Hongmin Chung, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH60802515 Issued in WA

Practice address

10905 SE 23Rd St
Bellevue, WA 98004-7306

Phone

(310) 254-4071

NPI assigned

Oct 29, 2021

Sex

Male

Sole proprietor

No

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1635465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635465600000",
    "number": "1346904844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10905 SE 23RD ST",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980047306",
            "telephone_number": "310-254-4071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10905 SE 23RD ST",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980047306",
            "telephone_number": "310-254-4071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "SAMUEL",
        "middle_name": "HONGMIN",
        "name_prefix": "Mr.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-29",
        "last_updated": "2021-10-29",
        "certification_date": "2021-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60802515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chung Song Ja Corp
• Christina Chung
• Kwok-Hung (Albert) Chung, DDS
• Man Sum Chung, PH.D., LBA, BCBA-D
• Sally Chung, PSY.D.
• Viorel G Ciarnau, LMP
• Grazia S Cinciripini, M.D.
• Sarah Ann Circelli
• Circle of Friends, Inc.
• City of Bellevue

• Mental Health Counselor in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.