Sasha Kim

Primary specialty

CounselorTaxonomy code 101Y00000X

License

96670 Issued in TX

Practice address

500 E 4TH St Ste 250
Fort Worth, TX 76102-4078

Phone

(817) 381-6991

NPI assigned

Sep 25, 2024

Sex

Female

Sole proprietor

Yes

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

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.

• The Brave Fight, LLC

  • Counseling Psychologist
  • Fort Worth, TX
  • NPI 1346968716
  NPD (past)

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

{
    "created_epoch": "1727222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1932926300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 WHISPERING OAKS DR",
            "city": "MIDLOTHIAN",
            "state": "TX",
            "postal_code": "760655093",
            "telephone_number": "409-201-8301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E 4TH ST STE 250",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761024078",
            "telephone_number": "817-381-6991"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 N Walnut St Ste 15",
            "address_purpose": "LOCATION",
            "city": "Cleburne",
            "state": "TX",
            "postal_code": "760335483",
            "country_code": "US",
            "telephone_number": "817-381-6991",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "SASHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-25",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "96670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joyce Kim, MD
• Peter S Kim, M.D.
• Roderick Youngdo Kim, DDS, MD
• Sarah Kim, DDS, MPH, CPH
• Sarah Kim
• Stephen Joowhan Kim, M.D.
• Stephen S Kim, PHARM.D.
• Steven Kim, M.D.
• Sun Kim, RPH
• Sunhee Kim, PHARMD

• Counselor in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.