Individual provider Active NPI

Songi Kim, LMHC

  • Mental Health Counselor
  • Waltham, MA
National Provider Identifier
1740902105
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LMHC10006137 Issued in MA
Practice address
431 River St Ste 2
Waltham, MA 02453-5483
Phone
(781) 423-5211
NPI assigned
Sep 13, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LMHC10006137 MA
Mental Health Counselor 101YM0800X LMHC10006137 MA Primary

Addresses

Primary practice location

431 River St Ste 2
Waltham, MA 02453-5483

Mailing address

431 River St Ste 2
Waltham, MA 02453-5483
Phone (781) 423-5211

Other practice location 1

1968 Central Ave
Needham, MA 02492-1410
Phone (781) 449-4500

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

State licenses

LicenseStateTypeSpecialty
LMHC10006137MAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Walker, Inc. CurrentSince Sep 1, 2022 Accepting new patients

Locations

1968 Central Ave
Needham, MA 02492
Phone (781) 292-2196

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1663027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1740902105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 RIVER ST STE 2",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024535483",
            "telephone_number": "781-423-5211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 RIVER ST STE 2",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024535483",
            "telephone_number": "781-423-5211"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1968 Central Ave",
            "address_purpose": "LOCATION",
            "city": "Needham",
            "state": "MA",
            "postal_code": "024921410",
            "country_code": "US",
            "telephone_number": "781-449-4500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "SONGI",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-13",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MA",
            "license": "LMHC10006137",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "LMHC10006137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waltham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; 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.