Stephen Sung Kim

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

61391782 Issued in WA

Practice address

17990 Midvale Ave N Unit 311
Shoreline, WA 98133-4901

Phone

(253) 394-1767

NPI assigned

Mar 6, 2023

Sex

Male

Sole proprietor

Yes

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": "1678060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678060800000",
    "number": "1376243782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 LENORA ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981212411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17990 MIDVALE AVE N UNIT 311",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981334901",
            "telephone_number": "253-394-1767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "STEPHEN",
        "middle_name": "SUNG",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-03-06",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "61391782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hanna S Kim, DDS
• Joohee Kim, MD
• Kyunghwa Kim, CNA
• Phil P Kim, PHARM D.
• Shiwoo Kim, D.M.D
• Erik Anthony Kimbrel
• Soon H Kimm, M.D.
• Lynndee King
• Paulette King
• Shirley Ann King, PA-C

• Mental Health Counselor in Shoreline, WA
• Providers in Shoreline, 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 Mar 6, 2023; 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.