Active NPI
Joyce Kim, M.A.
- Marriage & Family Therapist
- Las Vegas, NV
National Provider Identifier
1376988287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MI0857
- Practice address
- 1640 Alta Dr Ste 4
Las Vegas, NV 89106-4165 - Phone
- (702) 474-6450
- Fax
- (702) 474-6463
- NPI assigned
- May 6, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 02071-I | NV | |
| Marriage & Family Therapist | 106H00000X | IMF73208 | CA | |
| Marriage & Family Therapist | 106H00000X | MI0857 | NV | Primary |
Addresses
Primary practice location
1640 Alta Dr Ste 4
Las Vegas, NV 89106-4165
Mailing address
1640 Alta Dr Ste 4
Las Vegas, NV 89106-4165
Phone (702) 474-6450
Other practice location 1
21810 Normandie Ave
Torrance, CA 90502-2047
Phone (213) 385-5100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740728716 | Medicaid | NV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02071-I | NV | MD | Addiction (Substance Use Disorder) Counselor |
| IMF73208 | CA | MD | Marriage & Family Therapist |
| MI0857 | NV | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522195200000",
"number": "1376988287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1640 ALTA DR STE 4",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891064165",
"telephone_number": "702-474-6450",
"fax_number": "702-474-6463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1640 ALTA DR STE 4",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891064165",
"telephone_number": "702-474-6450",
"fax_number": "702-474-6463"
}
],
"practiceLocations": [
{
"address_1": "21810 Normandie Ave",
"address_purpose": "LOCATION",
"city": "Torrance",
"state": "CA",
"postal_code": "905022047",
"country_code": "US",
"telephone_number": "213-385-5100",
"fax_number": "310-783-4676",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIM",
"first_name": "JOYCE",
"name_prefix": "Ms.",
"credential": "M.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-05-06",
"last_updated": "2018-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NV",
"license": "02071-I",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "IMF73208",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NV",
"license": "MI0857",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1740728716",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.