Active NPI
Janae Kim
- Mental Health Counselor
- Los Angeles, CA
National Provider Identifier
1780843177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- IMF79690
- Practice address
- 3190 Oakwood Ave
Los Angeles, CA 90004-1220 - Phone
- (213) 252-2100
- Fax
- (213) 383-3146
- NPI assigned
- Jun 2, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | IMF79690 | CA | Primary |
Addresses
Primary practice location
3190 Oakwood Ave
Los Angeles, CA 90004-1220
Mailing address
3190 Oakwood Ave.
Los Angeles, CA 90004
Phone (626) 354-0528
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9300 | Medicaid | CA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| IMF79690 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403654400000",
"number": "1780843177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3190 OAKWOOD AVE.",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90004",
"telephone_number": "626-354-0528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3190 OAKWOOD AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900041220",
"telephone_number": "213-252-2100",
"fax_number": "213-383-3146"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "JANAE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-02",
"last_updated": "2014-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "IMF79690",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9300",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.