Individual provider Active NPI

Ria Kim, LMFT

  • Marriage & Family Therapist
  • Honolulu, HI
National Provider Identifier
1366993222
Registry record updated Oct 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
488 Issued in HI
Practice address
3388 Salt Lake Blvd
207
Honolulu, HI 96818-2120
Phone
(808) 387-2048
NPI assigned
Oct 17, 2016
Last updated
Oct 17, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2016

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 488 HI Primary

Addresses

Primary practice location

3388 Salt Lake Blvd
207
Honolulu, HI 96818-2120

Mailing address

3388 Salt Lake Blvd
207
Honolulu, HI 96818-2120
Phone (808) 387-2048

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
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

Enrollment IDStateProvider typePAC IDDetails
I20240820003862 HI Practitioner - Marriage and Family Therapist 7416495585 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advanced Psychiatric TherapeuticsGroup PAC ID 0042478414, 12 clinicians

Practice addresses (Care Compare)

1164 Bishop St
Suite 1710
Honolulu, HI 96813-2816

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Psychiatric Therapeutics CurrentSince Jul 1, 2024 Accepting new patients
Integrative Therapy Services Past Accepting new patients

Locations

1164 Bishop St
Ste 1611
Honolulu, HI 96813
Phone (808) 261-7792

40 Aulike St
Ste 312
Kailua, HI 96734
Phone (808) 261-7792

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1476662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476662400000",
    "number": "1366993222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3388 SALT LAKE BLVD",
            "address_2": "207",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968182120",
            "telephone_number": "808-387-2048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3388 SALT LAKE BLVD",
            "address_2": "207",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968182120",
            "telephone_number": "808-387-2048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "RIA",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-17",
        "last_updated": "2016-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "HI",
            "license": "488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.