Myung Jin Kim

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2009036114 Issued in MO

Practice address

9378 Olive Blvd Ste 317
Saint Louis, MO 63132-3224

Phone

(314) 994-9344

Fax

(314) 994-3007

NPI assigned

Mar 4, 2010

Last updated

Jan 11, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1267660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357862400000",
    "number": "1427371459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9378 OLIVE BLVD STE 317",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631323224",
            "telephone_number": "314-994-9344",
            "fax_number": "314-994-3007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9378 OLIVE BLVD STE 317",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631323224",
            "telephone_number": "314-994-9344",
            "fax_number": "314-994-3007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "MYUNG JIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-04",
        "last_updated": "2013-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2009036114",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC, STATE OF MISSOURI",
            "identifier": "2009036114",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessie Kim, PHARM. D
• Jung S Kim, M.D.
• Melody Ziwei Kim
• Min Jun Kim, MD
• Miriam Yunhee Kim, MD
• Sang Kim
• Sarah Kim, MD
• Shawn Myungki Kim, DO
• Stephanie Hewon Kim, MD
• Sun Kim, RN, BSN

• Professional Counselor in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2013; 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.