Nanci Hyun Ryung Kim, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

95979 Issued in CA

Practice address

39812 Mission Blvd Ste 106
Fremont, CA 94539-3087

Phone

(510) 500-5964

NPI assigned

Jan 14, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Gentle Healing Trauma Psychotherapy

  • Marriage & Family Therapist
  • Fremont, CA
  • NPI 1609679281
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1358121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743292800000",
    "number": "1659618312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39812 MISSION BLVD STE 106",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945393087",
            "telephone_number": "510-500-5964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39812 MISSION BLVD STE 106",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945393087",
            "telephone_number": "510-500-5964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "NANCI",
        "middle_name": "HYUN RYUNG",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-14",
        "last_updated": "2025-03-30",
        "certification_date": "2025-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "95979",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "95979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Kim, PA-C
• Jung Kim
• Kahwa Kim
• Kwang Han Kim, DDS
• Kyung Sik Kim, LAC
• Sainte Elan Jae Hyun Kim, NP
• Sang Eun Kim, PPS
• Seanna Kim, MD
• Suejin Kim, M.D.
• Sung Yean Kim, L.A.C,

• Marriage & Family Therapist in Fremont, CA
• Providers in Fremont, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.