HAN SOO KIM MA
NPI 1033761408
Counselor - Mental Health in Lynnwood, WA
About Han Soo Kim Ma NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HAN SOO KIM MA (NPI 1033761408) is an individual mental health provider in Lynnwood, Washington, licensed in Washington (LH60971499) and active in the NPI registry since July 2019. He is enrolled in Medicare PECOS, maintains a secondary practice location in Lakewood, and is a graduate of Other (1999).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Han Soo Kim Ma is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LYNNWOOD, WA 98037
LYNNWOOD, WA 98037
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Han Soo Kim's NPI number?
The NPI number for Han Soo Kim is 1033761408. It was assigned to this individual provider in the NPPES registry on July 15, 2019.
Where is Han Soo Kim located?
Han Soo Kim practices at 4629 168th St SW Ste E, Lynnwood, WA 98037. The listed phone number is (425) 776-1290.
What is Han Soo Kim's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Han Soo Kim enrolled in Medicare?
Yes. Han Soo Kim is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Han Soo Kim accept?
Health plans from Premera Blue Cross Blue Shield of Alaska list Han Soo Kim as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Han Soo Kim was last updated on November 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Han Soo Kim, MA · NPI 1033761408
Mental Health provider in Lynnwood, Washington. Individual provider, active in the CMS NPPES registry since July 15, 2019.
## Identity
- **NPI:** 1033761408 (Entity type: Individual)
- **Enumerated:** July 15, 2019
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** LH60971499 (Washington)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4629 168TH ST SW STE E, Lynnwood, WA 98037-8640
- **Phone:** (425) 776-1290
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 1999
## Record status
- **NPPES last updated:** November 29, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1033761408) · Data from the CMS NPPES public registry.