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JENNY KIM
NPI 1225806185
Marriage & Family Therapist in Chino Hills, CA

Active since December 19, 2023PECOS Enrolled
15156 CANON LN, CHINO HILLS, CA 91709(909) 767-8971 Get Directions Write a Review

NPPES record last updated: December 19, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jenny Kim NPPES

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

JENNY KIM (NPI 1225806185) is an individual marriage & family therapist in Chino Hills, California and active in the NPI registry since December 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1225806185
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameJENNY KIM
Location Address15156 CANON LNChino Hills, CA 91709-5215
Mailing Address15156 Canon LnChino Hills, CA 91709-5215
Phone(909) 767-8971
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateDecember 19, 2023
NPPES CertifiedDecember 19, 2023
✔ NPI 1225806185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
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.
15156 CANON LN, Chino Hills, CA 91709
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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)

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

PECOS PAC ID9436622131
PECOS Enrollment IDI20260624002980
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

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

DR. PAUL CHANG KIM PT, DPT
Physical Therapist
15156 CANON LN
CHINO HILLS, CA 91709
San Bernardino County (909) 641-3379

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 Jenny Kim's NPI number?

The NPI number for Jenny Kim is 1225806185. It was assigned to this individual provider in the NPPES registry on December 19, 2023.

Where is Jenny Kim located?

Jenny Kim practices at 15156 Canon Ln, Chino Hills, CA 91709. The listed phone number is (909) 767-8971.

What is Jenny Kim's specialty?

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

Is Jenny Kim enrolled in Medicare?

Yes. Jenny Kim is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jenny Kim was last updated on December 19, 2023. 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.