Amy H Kim

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LCSW22413 Issued in CA

Practice address

2152 Lemoyne St
Los Angeles, CA 90026-1950

Phone

(323) 397-4950

NPI assigned

Jul 13, 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

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1594598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594598400000",
    "number": "1366060659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2152 LEMOYNE ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900261950",
            "telephone_number": "323-397-4950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2152 LEMOYNE ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900261950",
            "telephone_number": "323-397-4950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "AMY",
        "middle_name": "H",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-13",
        "last_updated": "2020-07-13",
        "certification_date": "2020-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "LCSW22413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "eosscorpio@gmail.com",
            "affiliation": "N",
            "address_1": "2152 Lemoyne St",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900261950",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "eosscorpio@gmail.com",
            "affiliation": "N",
            "address_1": "2152 Lemoyne St",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900261950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alisa Kim
• Alison Ji Hyun Kim, RDN
• Amanda Yj Kim, DDS
• Amy Kim, PSY.D.
• Amy Deuk Hyun Kim
• Andrew Kim, MD
• Andrew Kim, MD, JD
• Andrew Heejoon Kim, M.D.
• Andrew Hui-Dong Kim, PHARMD, MS
• Andrew J Kim, M.D.

• Mental Health Counselor in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2020; 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.