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TAE KYUNG KIM PMHNP
NPI 1265253546
Nurse Practitioner - Psychiatric/Mental Health in Falls Church, VA

Active since October 21, 2024PECOS Enrolled
6565 ARLINGTON BLVD STE 405, FALLS CHURCH, VA 22042(571) 946-2189 Get Directions Write a Review

NPPES record last updated: March 12, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 12, 2025, Dec 2, 2024 (2 updates tracked since 2024).

About Tae Kyung Kim Pmhnp NPPES

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

TAE KYUNG KIM PMHNP (NPI 1265253546) is an individual psychiatric/mental health provider in Falls Church, Virginia, licensed in Virginia (0024191909) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1265253546
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameTAE KYUNG KIMCredential: PMHNP
Location Address6565 ARLINGTON BLVD STE 405Falls Church, VA 22042-3000
Mailing Address12833 Point Pleasant DrFairfax, VA 22033-3216 · (571) 422-7288
Phone(571) 946-2189
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateOctober 21, 2024
Last NPPES UpdateMarch 12, 20252 updates tracked since enumeration
NPPES CertifiedMarch 12, 2025
✔ NPI 1265253546 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in VA · 0024191909
6565 ARLINGTON BLVD STE 405, Falls Church, VA 22042
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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)

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

PECOS PAC ID7618472549
PECOS Enrollment IDI20250923002605
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22042 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

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

DR. ASHWINI VINOD SABNIS M.D.
Psychiatry & Neurology (Psychiatry)
6565 ARLINGTON BLVD STE 405
FALLS CHURCH, VA 22042
Fairfax County (703) 594-4796
MS. VIRGINIA JAMIE DINEEN
Social Worker (Clinical)
6565 ARLINGTON BLVD STE 405
FALLS CHURCH, VA 22042
Fairfax County (703) 596-4796
MRS. CONNIE LYNN JENKS LPC
Counselor (Professional)
6565 ARLINGTON BLVD STE 405
FALLS CHURCH, VA 22042
Fairfax County (703) 596-4796
MICHAEL WALSH CT
Counselor (Professional)
6565 ARLINGTON BLVD STE 405
FALLS CHURCH, VA 22042
Fairfax County (703) 596-4796

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 Tae Kim's NPI number?

The NPI number for Tae Kim is 1265253546. It was assigned to this individual provider in the NPPES registry on October 21, 2024.

Where is Tae Kim located?

Tae Kim practices at 6565 Arlington Blvd Ste 405, Falls Church, VA 22042. The listed phone number is (571) 946-2189.

What is Tae Kim's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Tae Kim enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Tae Kim was last updated on March 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.