Healing Grace Counseling Center Corp

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

HEALING GRACE COUNSELING CENTER CORP

Practice address

259 S Euclid Ave
Pasadena, CA 91101-2717

Phone

(909) 536-0570

NPI assigned

Jan 18, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Youngok KimNPI 1558978379

Title

Founder

Phone

(909) 536-0570

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Youngok Kim

  • Clinical Psychologist
  • Naperville, IL
  • NPI 1558978379
  NPD Authorized official

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

{
    "created_epoch": "1705536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705622400000",
    "number": "1750142675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 E WALNUT ST UNIT 201",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911065520",
            "telephone_number": "909-536-0570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "259 S EUCLID AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911012717",
            "telephone_number": "909-536-0570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING GRACE COUNSELING CENTER CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-18",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "YOUNGOK",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "909-536-0570",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; 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.