SALLY KIM LCPC
NPI 1154020071
Counselor - Professional in Gaithersburg, MD

Active since February 28, 2023
504 MAIN ST, GAITHERSBURG, MD 20878(301) 591-6830 Get Directions Write a Review

NPPES record last updated: May 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 15, 2025, Feb 28, 2023 (2 updates tracked since 2023).

About Sally Kim Lcpc NPPES

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

SALLY KIM LCPC (NPI 1154020071) is an individual professional provider in Gaithersburg, Maryland, licensed in Maryland (LC15113) and active in the NPI registry since February 2023.

NPPES Registry Identity

NPI1154020071
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSALLY KIMCredential: LCPC
Location Address504 MAIN STGaithersburg, MD 20878-5587
Mailing Address8010 Gramercy Blvd Apt 435Rockville, MD 20855-2365 · (301) 906-9804
Sole ProprietorNo
Enumeration DateFebruary 28, 2023
Last NPPES UpdateMay 15, 20252 updates tracked since enumeration
NPPES CertifiedMay 15, 2025
NPI 1154020071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses Licensed in MD · LC15113 Licensed in MD · LGP11987
504 MAIN ST, Gaithersburg, MD 20878

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 Sally Kim's NPI number?

The NPI number for Sally Kim is 1154020071. It was assigned to this individual provider in the NPPES registry on February 28, 2023.

Where is Sally Kim located?

Sally Kim practices at 504 Main St, Gaithersburg, MD 20878. The listed phone number is (301) 591-6830.

What is Sally Kim's specialty?

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

When was this NPI record last updated?

The NPPES record for Sally Kim was last updated on May 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.