Individual provider Active NPI

Hanna Kim, LMFT

  • Marriage & Family Therapist
  • Apple Valley, CA
National Provider Identifier
1780714105
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT85175 Issued in CA
Practice address
18818 Hwy 18
Apple Valley, CA 92307-9234
Phone
(760) 995-8813
Fax
(760) 995-8929
NPI assigned
Mar 6, 2007
Last updated
Mar 19, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 85175 CA
Marriage & Family Therapist 106H00000X LMFT85175 CA Primary
Marriage & Family Therapist 106H00000X IMF57809 CA

Addresses

Primary practice location

18818 Hwy 18
Apple Valley, CA 92307-9234

Mailing address

18818 Outer Hwy 18
Apple Valley, CA 92307-2323
Phone (760) 995-8813

Other practice location 1

1841 E Main St
Barstow, CA 92311-3234
Phone (760) 255-5700 ext. 55715

Other practice location 2

1731 E 120th St
Los Angeles, CA 90059-3051
Phone (323) 563-4939

Other practice location 3

8300 Utica Ave Ste 245
Rancho Cucamonga, CA 91730-3852
Phone (909) 989-4055

Other practice location 4

1200 Wilshire Blvd
Suite 210
Los Angeles, CA 90017-1908
Phone (213) 481-7464

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
IMF57809CAMDMarriage & Family Therapist
LMFT85175CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Behavioral Care of California, P.C. CurrentSince Aug 7, 2025 Accepting new patients
Optum Behavioral Care of California, P.C. CurrentSince Aug 7, 2025 Accepting new patients
Amanecer Community Counseling Service, a Non-Profit Corporation PastSince Sep 1, 2022 Accepting new patients
Union Ave Elementary School Past Accepting new patients
Charles Drew University of Medicine & Science PastSince Nov 27, 2018 Accepting new patients

Locations

2555 E Colorado Blvd
Ste 101
Pasadena, CA 91107
Phone (909) 898-4055

8300 Utica Ave
Ste 245
Rancho Cucamonga, CA 91730
Phone (909) 989-4055

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773878400000",
    "number": "1780714105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18818 OUTER HWY 18",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923072323",
            "telephone_number": "760-995-8813",
            "fax_number": "760-995-8932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18818 HWY 18",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923079234",
            "telephone_number": "760-995-8813",
            "fax_number": "760-995-8929"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1841 E Main St",
            "address_purpose": "LOCATION",
            "city": "Barstow",
            "state": "CA",
            "postal_code": "923113234",
            "country_code": "US",
            "telephone_number": "760-255-5700 x55715",
            "fax_number": "760-256-5092",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1731 E 120th St",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900593051",
            "country_code": "US",
            "telephone_number": "323-563-4939",
            "fax_number": "323-563-9333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8300 Utica Ave Ste 245",
            "address_purpose": "LOCATION",
            "city": "Rancho Cucamonga",
            "state": "CA",
            "postal_code": "917303852",
            "country_code": "US",
            "telephone_number": "909-989-4055",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 Wilshire Blvd",
            "address_2": "Suite 210",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900171908",
            "country_code": "US",
            "telephone_number": "213-481-7464",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "HANNA",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "85175",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT85175",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF57809",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apple Valley, CA

Sources for this page

Verify at the official NPI Registry.