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KELLY KIM
NPI 1154987790
Counselor in El Segundo, CA

Active since May 18, 2019
329 EUCALYPTUS DR APT C, EL SEGUNDO, CA 90245(310) 402-7370 Get Directions Write a Review

NPPES record last updated: May 18, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Kelly Kim NPPES

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

KELLY KIM (NPI 1154987790) is an individual counselor in El Segundo, California, licensed in California (R1335190119) and active in the NPI registry since May 2019.

NPPES Registry Identity

NPI1154987790
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameKELLY KIM
Location Address329 EUCALYPTUS DR APT CEl Segundo, CA 90245-4252
Mailing Address329 Eucalyptus Dr Apt CEl Segundo, CA 90245-4252
Phone(310) 402-7370
Sole ProprietorYes
Enumeration DateMay 18, 2019
✔ NPI 1154987790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in CA · R1335190119
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
329 EUCALYPTUS DR APT C, El Segundo, CA 90245
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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 Kelly Kim's NPI number?

The NPI number for Kelly Kim is 1154987790. It was assigned to this individual provider in the NPPES registry on May 18, 2019.

Where is Kelly Kim located?

Kelly Kim practices at 329 Eucalyptus Dr Apt C, El Segundo, CA 90245. The listed phone number is (310) 402-7370.

What is Kelly Kim's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Kelly Kim was last updated on May 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.