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MRS. EUNSIL KIM LPC
NPI 1083585343
Counselor - Professional in Naperville, IL

Active since September 17, 2025PECOS Enrolled
1819 BAY SCOTT CIR, NAPERVILLE, IL 60540(630) 357-2456(630) 357-2482 Get Directions Write a Review

NPPES record last updated: September 17, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mrs. Eunsil Kim Lpc NPPES

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

MRS. EUNSIL KIM LPC (NPI 1083585343) is an individual professional provider in Naperville, Illinois, licensed in Illinois (178.022052) and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Wheaton, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1083585343
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. EUNSIL KIMCredential: LPC
Location Address1819 BAY SCOTT CIRNaperville, IL 60540-1129
Mailing Address1652 Westminster DrNaperville, IL 60563-9208 · (630) 357-2456 · Fax (630) 357-2482
Phone(630) 357-2456
Fax(630) 357-2482
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateSeptember 17, 2025
NPPES CertifiedSeptember 17, 2025
✔ NPI 1083585343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in IL · 178.022052
1819 BAY SCOTT CIR, Naperville, IL 60540
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Secondary Practice Location 1

Location 11761 S Naperville Rd Ste 200Wheaton, IL 60189-5846 · Phone (630) 260-0606 ext. 149 · Fax (630) 357-2482

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Eunsil Kim Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID648762005
PECOS Enrollment IDI20251125001503
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Eunsil Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Samaritan Interfaith Counseling Center Inc.
Same address
Clinical
1819 BAY SCOTT CIR STE 109
Naperville, IL 60540
  • Reassigned Medicare billing, Illinois enrollment
  • 25 clinicians in this Medicare group
NPI 1497842983 (630) 357-2456

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

NANCY ANN KRATZ PHD
Psychologist (Clinical)
1819 BAY SCOTT CIR, SUITE 109
NAPERVILLE, IL 60540
Dupage County (630) 357-2456
MICHAEL W. BRADBURN LCSW
Social Worker (Clinical)
1819 BAY SCOTT CIR, SUITE 109
NAPERVILLE, IL 60540
Dupage County (630) 357-2456
DR. DANA BETH WAGNER PSYD
Psychologist (Clinical)
1819 BAY SCOTT CIR, SUITE 109
NAPERVILLE, IL 60540
Dupage County (630) 357-2456
MARK RAMIREZ
Counselor (Professional)
1819 BAY SCOTT CIR, STE. 109
NAPERVILLE, IL 60540
Dupage County (630) 357-2456
DR. MAUREEN ANN VILLAGELIU M.D.
Pediatrics
1819 BAY SCOTT CIR, SUITE # 105
NAPERVILLE, IL 60540
Dupage County (630) 548-5437
WILLIAM DAVID DUKE JR. M.A.
Counselor (Mental Health)
1819 BAY SCOTT CIR, STE. 109
NAPERVILLE, IL 60540
Dupage County (630) 357-2456

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 Eunsil Kim's NPI number?

The NPI number for Eunsil Kim is 1083585343. It was assigned to this individual provider in the NPPES registry on September 17, 2025.

Where is Eunsil Kim located?

Eunsil Kim practices at 1819 Bay Scott Cir, Naperville, IL 60540. The listed phone number is (630) 357-2456.

What is Eunsil Kim's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Eunsil Kim enrolled in Medicare?

Yes. Eunsil Kim is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Eunsil Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Eunsil Kim reassigns Medicare benefits to Samaritan Interfaith Counseling Center Inc. (Naperville, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Eunsil Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Eunsil Kim was last updated on September 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.