Active NPI
Hanna Kim, LMFT
- Marriage & Family Therapist
- Apple Valley, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT85175
- 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, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IMF57809 | CA | MD | Marriage & Family Therapist |
| LMFT85175 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optum Behavioral Care of California, P.C. | Current | Accepting new patients | |
| Optum Behavioral Care of California, P.C. | Current | Accepting new patients | |
| Amanecer Community Counseling Service, a Non-Profit Corporation | Past | Accepting new patients | |
| Union Ave Elementary School | Past | Accepting new patients | |
| Charles Drew University of Medicine & Science | Past | 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.
-
- Clinical Psychologist
- Rancho Cucamonga, CA
- NPI 1417718297
-
- Clinical Social Worker
- Costa Mesa, CA
- NPI 1447137740
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Los Angeles, CA
- NPI 1053449900
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Los Angeles, CA
- NPI 1609367788
-
- Local Education Agency (LEA)
- Los Angeles, CA
- NPI 1609307925
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2026; 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.