Kyunghee Kim, MA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

35 McKone St Apt 1
Dorchester, MA 02122

Phone

(617) 412-9620

NPI assigned

Sep 24, 2014

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

Other names 1

• Ms. Kelly Kim Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1411516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529280000000",
    "number": "1972905651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "792 WEST ST",
            "address_2": "APT F206",
            "city": "MANSFIELD",
            "state": "MA",
            "postal_code": "020481184",
            "telephone_number": "617-639-6730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 MCKONE ST APT 1",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "02122",
            "telephone_number": "617-412-9620"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "792 West St",
            "address_2": "Apt F206",
            "address_purpose": "LOCATION",
            "city": "Mansfield",
            "state": "MA",
            "postal_code": "020481184",
            "country_code": "US",
            "telephone_number": "617-639-6730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "KYUNGHEE",
        "name_prefix": "Ms.",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-24",
        "last_updated": "2018-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "KIM",
            "prefix": "MS.",
            "credential": "MA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Alaa Khoja
• Mina Khorashadi, MD
• Jugta Khuman, M.D.
• Itoko Kikuchi, PMHNP-BC
• Curt Kim, PHARMD
• Sheri Lynn Kimball, RDN
• Kimberly Gallaugher LLC
• Kimmy Pharmacy
• Stephen Ronald Kinan
• Silver D King

• Mental Health Counselor in Dorchester, MA
• Providers in Dorchester, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2018; 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.