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

Active since August 14, 2009PECOS Enrolled
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: November 01, 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.

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
Fax(917) 447-8159
Sole ProprietorYes
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

Other Identifiers 1

Medicaid00063025NY

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Heesoo Karina Kim Lcsw-r, Phd 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

6

Medicare enrollment records show Heesoo Kim reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
1250 SHAKESPEARE AVE
Bronx, NY 10452
  • Reassigned Medicare billing, New York enrollment
  • 272 clinicians in this Medicare group
Mental Health (Including Community Mental Health Center)
199 RAILROAD AVE
East Rutherford, NJ 07073
  • Reassigned Medicare billing, New Jersey enrollment
  • 2 clinicians in this Medicare group
Legal Medicine
2015 GRAND CONCOURSE
Bronx, NY 10453
  • Reassigned Medicare billing, New York enrollment
  • 1,393 clinicians in this Medicare group
Internal Medicine
1371 SEABURY AVE
Bronx, NY 10461
  • Reassigned Medicare billing, New York enrollment
  • 1,054 clinicians in this Medicare group
Internal Medicine
2626 HALPERIN AVE
Bronx, NY 10461
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Bronx Medical Practice PC
  • 1,013 clinicians in this Medicare group
Rehabilitation, Substance Use Disorder
660 S 21ST ST
Irvington, NJ 07111
  • Reassigned Medicare billing, New Jersey enrollment

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

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 enrollment system.

Which organizations bill Medicare for Heesoo Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Heesoo Kim reassigns Medicare benefits to 6 organizations: Shakespeare Operating LLC (Bronx, NY), Asun Star Consulting, Inc. (East Rutherford, NJ), Essen Medical Associates, PC (Bronx, NY), House Call Medical Services Of New York, PLLC (Bronx, NY), Bronx Medical Practice P.C. (Bronx, NY) and 1 more organization, listed in the Medicare section above. 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 Heesoo Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Heesoo Kim accept?

Health plans from Blue Cross and Blue Shield of Texas, BridgeSpan Health Company, Oscar Health 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.