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JENNIFER ALLYN YANG KYUNG KIM-ARDAKANI
NPI 1104697903
Marriage & Family Therapist in Saint Paul, MN

Active since January 10, 2024PECOS Enrolled
451 LEXINGTON PKWY N, SAINT PAUL, MN 55104(651) 280-2310(651) 280-3995 Get Directions Write a Review

NPPES record last updated: December 3, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jennifer Allyn Yang Kyung Kim-ardakani NPPES

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

JENNIFER ALLYN YANG KYUNG KIM-ARDAKANI (NPI 1104697903) is an individual marriage & family therapist in Saint Paul, Minnesota, licensed in Minnesota (4369) and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104697903
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameJENNIFER ALLYN YANG KYUNG KIM-ARDAKANI
Location Address451 LEXINGTON PKWY NSaint Paul, MN 55104-4636
Mailing Address451 Lexington Pkwy NSaint Paul, MN 55104-4636 · (651) 280-2310 · Fax (651) 280-3995
Phone(651) 280-2310
Fax(651) 280-3995
Sole ProprietorYes
Enumeration DateJanuary 10, 2024
Last NPPES UpdateDecember 3, 2024
NPPES CertifiedDecember 3, 2024
✔ NPI 1104697903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in MN · 4369
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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
451 LEXINGTON PKWY N, Saint Paul, MN 55104
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Allyn Yang Kyung Kim-ardakani 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Jennifer Kim-ardakani reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Amherst H. Wilder Foundation
Same address
Mental Health (Including Community Mental Health Center)
451 LEXINGTON PKWY N
Saint Paul, MN 55104
  • Reassigned Medicare billing, Minnesota enrollment
  • 86 clinicians in this Medicare group
NPI 1548337355 (651) 280-2000
Grow Healthcare Group PA
1,507 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Minnesota enrollment
  • 276 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

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 20

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

PANG XIONG
Counselor (Professional)
451 LEXINGTON PKWY N
SAINT PAUL, MN 55104
Ramsey County (651) 280-2310
MAI BAO XIONG
Marriage & Family Therapist
451 LEXINGTON PKWY N
SAINT PAUL, MN 55104
Ramsey County (651) 280-2310
JASMINE ELLIS
Social Worker (Clinical)
451 LEXINGTON PKWY N
SAINT PAUL, MN 55104
Ramsey County (651) 280-2310
BETHANY ALEXANDER
Counselor (Professional)
451 LEXINGTON PKWY N
SAINT PAUL, MN 55104
Ramsey County (651) 280-2310
PA KOU YANG
Social Worker (Clinical)
451 LEXINGTON PKWY N
SAINT PAUL, MN 55104
Ramsey County (651) 280-2310
PAHOUA KHU YANG LICSW
Social Worker (Clinical)
451 LEXINGTON PKWY N
SAINT PAUL, MN 55104
Ramsey County (651) 280-2310
SARA ANN NELSON LICSW
Social Worker (Clinical)
451 LEXINGTON PKWY N
SAINT PAUL, MN 55104
Ramsey County (651) 280-2310
SAOIRSE M EDONGNEK LICSW
Social Worker (Clinical)
451 LEXINGTON PKWY N
SAINT PAUL, MN 55104
Ramsey County (651) 280-2000

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 Jennifer Kim-ardakani's NPI number?

The NPI number for Jennifer Kim-ardakani is 1104697903. It was assigned to this individual provider in the NPPES registry on January 10, 2024.

Where is Jennifer Kim-ardakani located?

Jennifer Kim-ardakani practices at 451 Lexington Pkwy N, Saint Paul, MN 55104. The listed phone number is (651) 280-2310.

What is Jennifer Kim-ardakani's specialty?

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

Is Jennifer Kim-ardakani enrolled in Medicare?

Yes. Jennifer Kim-ardakani is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jennifer Kim-ardakani's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Kim-ardakani reassigns Medicare benefits to 2 organizations: Amherst H. Wilder Foundation (Saint Paul, MN) and Grow Healthcare Group PA (Miami, FL). Each 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 Jennifer Kim-ardakani'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 Jennifer Kim-ardakani was last updated on December 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.