Christine Yoonjung Kim

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

APCC10492 Issued in CA

Practice address

614 Grand Ave Ste 203
Oakland, CA 94610-3554

Phone

(510) 433-0244

NPI assigned

Dec 4, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Sankofa Holistic Counseling Services, a Professional Clinical Social W

  • Clinical Social Worker
  • Oakland, CA
  • NPI 1740602549
  NPD

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

{
    "created_epoch": "1701648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1821865528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 41ST ST",
            "address_2": "UNIT 11544",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946119991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 GRAND AVE STE 203",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946103554",
            "telephone_number": "510-433-0244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "CHRISTINE",
        "middle_name": "YOONJUNG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-04",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "APCC10492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah R. Kim-Marchant, LCSW
• Alexander Thomas Kim, DMD
• Anabel Y. Kim, MD
• Annie Kim
• Chang O. Kim, M.D.
• Dana Kim
• Daniel Kim
• Daniela Y Kim, MD
• DO Yeon Kim
• Eileen Youngin Kim, MD

• Mental Health Counselor in Oakland, CA
• Providers in Oakland, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.