JOANNE B KIM LMFT
NPI 1063050003
Marriage & Family Therapist in Los Gatos, CA

Q: What is Joanne Kim's NPI number?

The NPI number for Joanne Kim is 1063050003. It was assigned to this individual provider in the NPPES registry on December 19, 2019.

Q: What is Joanne Kim's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: Is Joanne Kim enrolled in Medicare?

No. Joanne Kim has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Joanne Kim was last updated on March 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since December 19, 2019Opted out of Medicare · through Jan 1, 2028

987 UNIVERSITY AVE STE 22, LOS GATOS, CA 95032(408) 722-3770 Get Directions Write a Review

NPPES record last updated: March 22, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 6, 2021, Dec 19, 2019 (2 updates tracked since 2019).

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About Joanne B Kim Lmft NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOANNE B KIM LMFT (NPI 1063050003) is an individual marriage & family therapist in Los Gatos, California, licensed in California (110804) and active in the NPI registry since December 2019. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1063050003

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameJOANNE B KIMCredential: LMFT

Location Address987 UNIVERSITY AVE STE 22Los Gatos, CA 95032-7640

Mailing Address987 University Ave Ste 22Los Gatos, CA 95032-7640 · (408) 722-3770

Phone(408) 722-3770

Sole ProprietorNo

Enumeration DateDecember 19, 2019

Last NPPES UpdateMarch 22, 20242 updates tracked since enumeration

NPPES CertifiedMarch 22, 2024

✔ NPI 1063050003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · 110804

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

987 UNIVERSITY AVE STE 22, Los Gatos, CA 95032

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Joanne B Kim Lmft 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 January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024

Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAURA ELIZABETH KAHN HELD AMFT

Counselor (Mental Health)