HAEDONG KIM
NPI 1033823026
Marriage & Family Therapist in Bethesda, MD
About Haedong Kim NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HAEDONG KIM (NPI 1033823026) is an individual marriage & family therapist in Bethesda, Maryland, licensed in Maryland (LCM1197) and active in the NPI registry since January 2023. He has opted out of Medicare through May 4, 2028.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Haedong Kim has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 4, 2026 through May 4, 2028.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BETHESDA, MD 20814
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 Haedong Kim's NPI number?
The NPI number for Haedong Kim is 1033823026. It was assigned to this individual provider in the NPPES registry on January 13, 2023. The provider is also known as H. Shawn Kim.
Where is Haedong Kim located?
Haedong Kim practices at 6931 Arlington Rd Ste 440, Bethesda, MD 20814. The listed phone number is (240) 424-5328.
What is Haedong Kim's specialty?
The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.
Is Haedong Kim enrolled in Medicare?
No. Haedong Kim has opted out of Medicare through May 4, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Haedong Kim was last updated on April 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.
# Haedong Kim · NPI 1033823026
Marriage & Family Therapist provider in Bethesda, Maryland. Individual provider, active in the CMS NPPES registry since January 13, 2023.
## Identity
- **NPI:** 1033823026 (Entity type: Individual)
- **Enumerated:** January 13, 2023
- **Primary specialty:** Marriage & Family Therapist · taxonomy 106H00000X
- **State license:** LCM1197 (Maryland)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 6931 ARLINGTON RD STE 440, Bethesda, MD 20814-5231
- **Phone:** (240) 424-5328
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through May 4, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** April 17, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1033823026) · Data from the CMS NPPES public registry.