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KYONG YIM LMHC
NPI 1063990661
Counselor - Mental Health in Seattle, WA

Active since August 06, 2018Opted out of Medicare · through Jan 9, 2028
5608 17TH AVE NW STE 1746, SEATTLE, WA 98107(425) 202-5523 Get Directions Write a Review

NPPES record last updated: October 23, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 23, 2023, Oct 19, 2022, Aug 6, 2018 (3 updates tracked since 2018).

About Kyong Yim Lmhc NPPES

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

KYONG YIM LMHC (NPI 1063990661) is an individual mental health provider in Seattle, Washington, licensed in Washington (LH61062996) and active in the NPI registry since August 2018. She has opted out of Medicare through January 9, 2028.

NPPES Registry Identity

NPI1063990661
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKYONG YIMCredential: LMHC
Location Address5608 17TH AVE NW STE 1746Seattle, WA 98107-5232
Mailing Address5608 17th Ave Nw Ste 1746Seattle, WA 98107-5232 · (425) 202-5523
Phone(425) 202-5523
Sole ProprietorYes
Enumeration DateAugust 6, 2018
Last NPPES UpdateOctober 23, 20233 updates tracked since enumeration
NPPES CertifiedOctober 23, 2023
✔ NPI 1063990661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in WA · LH61062996
5608 17TH AVE NW STE 1746, Seattle, WA 98107
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Kyong Yim Lmhc 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 9, 2024 through January 9, 2028.

Opt-Out Effective DateJanuary 9, 2024
Opt-Out In Effect ThroughJanuary 9, 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.

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 Kyong Yim's NPI number?

The NPI number for Kyong Yim is 1063990661. It was assigned to this individual provider in the NPPES registry on August 6, 2018.

Where is Kyong Yim located?

Kyong Yim practices at 5608 17th Ave NW Ste 1746, Seattle, WA 98107. The listed phone number is (425) 202-5523.

What is Kyong Yim's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Kyong Yim enrolled in Medicare?

No. Kyong Yim has opted out of Medicare through January 9, 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 Kyong Yim was last updated on October 23, 2023. 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.