SOMIN KIM
NPI 1164026753
Marriage & Family Therapist in Burbank, CA

Q: What is Somin Kim's NPI number?

The NPI number for Somin Kim is 1164026753. It was assigned to this individual provider in the NPPES registry on November 24, 2020.

Q: What is Somin Kim's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Somin Kim was last updated on February 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since November 24, 2020PECOS Enrolled

1201 S VICTORY BLVD STE 206, BURBANK, CA 91502(818) 639-3003 Get Directions Write a Review

NPPES record last updated: February 26, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Somin Kim NPPES

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

SOMIN KIM (NPI 1164026753) is an individual marriage & family therapist in Burbank, California, licensed in California (144902) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1164026753

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameSOMIN KIM

Location Address1201 S VICTORY BLVD STE 206Burbank, CA 91502-2552

Mailing Address543 N Sierra Bonita AveLos Angeles, CA 90036-2406 · (323) 504-4925

Phone(818) 639-3003

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateNovember 24, 2020

Last NPPES UpdateFebruary 26, 2024

NPPES CertifiedFebruary 26, 2024

✔ NPI 1164026753 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

Licenses✔ Licensed in CA · 144902✔ Licensed in CA · 122919

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.

1201 S VICTORY BLVD STE 206, Burbank, CA 91502

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Somin Kim is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID749795466

PECOS Enrollment IDI20250711003726

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.

Other Providers at the Same Location NPPES 18

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

RACHEL DOUGLAS

Marriage & Family Therapist