JAE KIM LPC
NPI 1265155188
Counselor - Professional in Alexandria, VA
About Jae Kim Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JAE KIM LPC (NPI 1265155188) is an individual professional provider in Alexandria, Virginia, licensed in Virginia (0701013320) and active in the NPI registry since September 2022. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jae Kim Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 19
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
KINGSTOWNE, VA 22315
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 Jae Kim's NPI number?
The NPI number for Jae Kim is 1265155188. It was assigned to this individual provider in the NPPES registry on September 26, 2022.
Where is Jae Kim located?
Jae Kim practices at 6901 S Van Dorn St, Alexandria, VA 22315. The listed phone number is (703) 313-6300.
What is Jae Kim's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Jae Kim enrolled in Medicare?
Yes. Jae Kim is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Jae Kim was last updated on February 28, 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.
# Jae Kim, LPC · NPI 1265155188
Professional provider in Alexandria, Virginia. Individual provider, active in the CMS NPPES registry since September 26, 2022.
## Identity
- **NPI:** 1265155188 (Entity type: Individual)
- **Enumerated:** September 26, 2022
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 0701013320 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 6901 S VAN DORN ST, Alexandria, VA 22315-3961
- **Phone:** (703) 313-6300
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
## Record status
- **NPPES last updated:** February 28, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1265155188) · Data from the CMS NPPES public registry.