1. Home
  2. Directory
  3. New York
  4. New York New York
  5. Counselor
  6. NPI Profile

HEESOO KARINA KIM LCSW-R, PHD
NPI 1144452749
Counselor - Mental Health in New York, NY

Active since August 14, 2009PECOS EnrolledAccepts Medicare Assignment
36 WEST 25TH STREET, 10TH FLOOR, NEW YORK, NY 10010(917) 447-8159(917) 447-8159 Get Directions Write a Review

NPPES record last updated: October 16, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Heesoo Karina Kim Lcsw-r, Phd NPPES

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

HEESOO KARINA KIM LCSW-R, PHD (NPI 1144452749) is an individual mental health provider in New York, New York, licensed in New York (R063025) and active in the NPI registry since August 2009. She is enrolled in Medicare PECOS and is a graduate of State University Of New York At Stony Brook, School Of Medicine (1995).

NPPES Registry Identity

NPI1144452749
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameHEESOO KARINA KIMCredential: LCSW-R, PHD
Location Address36 WEST 25TH STREET, 10TH FLOORNew York, NY 10010
Mailing Address133 N Maple Avenue, #101East Orange, NJ 07017 · (917) 447-8159 · Fax (917) 447-8159
Phone(917) 447-8159
Fax(917) 447-8159
Sole ProprietorYes
Medical School CMSState University Of New York At Stony Brook, School Of MedicineGraduated 1995
Enumeration DateAugust 14, 2009
Last NPPES UpdateOctober 16, 2015
✔ NPI 1144452749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses✔ Licensed in NY · R063025✔ Licensed in NJ · 44SC05455900
36 WEST 25TH STREET, 10TH FLOOR, New York, NY 10010
Open in Google Maps ↗

Other Identifiers 1

Medicaid00063025NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Providence Health Plan, Regence BlueCross BlueShield of Utah.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Heesoo Karina Kim Lcsw-r, Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2860707866
PECOS Enrollment IDI20160204000704
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 Heesoo Kim's NPI number?

The NPI number for Heesoo Kim is 1144452749. It was assigned to this individual provider in the NPPES registry on August 14, 2009.

Where is Heesoo Kim located?

Heesoo Kim practices at 36 West 25th Street, 10th Floor, New York, NY 10010. The listed phone number is (917) 447-8159.

What is Heesoo Kim's specialty?

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

Is Heesoo Kim enrolled in Medicare?

Yes. Heesoo Kim is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Heesoo Kim accept?

Health plans from BridgeSpan Health Company, Providence Health Plan and Regence BlueCross BlueShield of Utah list Heesoo Kim as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Heesoo Kim was last updated on October 16, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.