Active NPI
Jin-Yee Kim, MS, CCC-SLP
- Speech-Language Pathologist
- Leander, TX
National Provider Identifier
1497002844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 118975
- Practice address
- 1121 Euless LN
Leander, TX 78641-2507 - Phone
- (646) 476-1001
- NPI assigned
- Aug 3, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 118975 | TX | Primary |
Addresses
Primary practice location
1121 Euless LN
Leander, TX 78641-2507
Mailing address
1121 Euless LN
Leander, TX 78641-2507
Phone (646) 476-1001
Other practice location 1
1651 Coney Island Ave
Brooklyn, NY 11230-5849
Phone (718) 998-1415
Other practice location 2
14 E Casino Rd Ste A
Everett, WA 98208-2628
Phone (425) 353-5656 ext. 7253
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 118975 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Childstrive | Speech-Language Pathologist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Developmental Disabilities Clinic/Center
- Everett, WA
- NPI 1205872280
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765497600000",
"number": "1497002844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1121 EULESS LN",
"city": "LEANDER",
"state": "TX",
"postal_code": "786412507",
"telephone_number": "646-476-1001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1121 EULESS LN",
"city": "LEANDER",
"state": "TX",
"postal_code": "786412507",
"telephone_number": "646-476-1001"
}
],
"practiceLocations": [
{
"address_1": "1651 Coney Island Ave",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112305849",
"country_code": "US",
"telephone_number": "718-998-1415",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "14 E Casino Rd Ste A",
"address_purpose": "LOCATION",
"city": "Everett",
"state": "WA",
"postal_code": "982082628",
"country_code": "US",
"telephone_number": "425-353-5656 x7253",
"fax_number": "425-513-2807",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIM",
"first_name": "JIN-YEE",
"credential": "MS, CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-03",
"last_updated": "2025-12-12",
"certification_date": "2025-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "118975",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Leander, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.