Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

CHRISTINE S. KIM LCPC
NPI 1093639551
Counselor - Mental Health in Glen Ellyn, IL

Active since August 07, 2026PECOS Enrolled
800 ROOSEVELT RD., BLDG C, SUITE 206, GLEN ELLYN, IL 60137(630) 423-5935 Get Directions Write a Review

NPPES record added: August 7, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Christine S. Kim Lcpc NPPES

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

CHRISTINE S. KIM LCPC (NPI 1093639551) is an individual mental health provider in Glen Ellyn, Illinois, licensed in Illinois (180.018562) and active in the NPI registry since August 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093639551
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameCHRISTINE S. KIMCredential: LCPC
Location Address800 ROOSEVELT RD., BLDG C, SUITE 206Glen Ellyn, IL 60137
Mailing Address800 Roosevelt Rd., Bldg C, Suite 206Glen Ellyn, IL 60137 · (630) 423-5935
Sole ProprietorYes
Enumeration DateAugust 7, 2026
NPPES CertifiedAugust 7, 2026
✔ NPI 1093639551 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 IL · 180.018562
800 ROOSEVELT RD., BLDG C, SUITE 206, Glen Ellyn, IL 60137

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Christine S. Kim Lcpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 Christine Kim's NPI number?

The NPI number for Christine Kim is 1093639551. It was assigned to this individual provider in the NPPES registry on August 7, 2026.

Where is Christine Kim located?

Christine Kim practices at 800 Roosevelt Rd., Bldg C, Suite 206, Glen Ellyn, IL 60137. The listed phone number is (630) 423-5935.

What is Christine Kim's specialty?

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

Is Christine Kim enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Christine Kim was last updated on August 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.