BONNIE MIJA KIM LCPC
NPI 1336011287
Counselor in Rolling Meadows, IL

Q: What is Bonnie Kim's NPI number?

The NPI number for Bonnie Kim is 1336011287. It was assigned to this individual provider in the NPPES registry on September 20, 2025.

Q: What is Bonnie Kim's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Bonnie Kim was last updated on September 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since September 20, 2025PECOS EnrolledAccepts Medicare Assignment

4200 EUCLID AVE STE 104, ROLLING MEADOWS, IL 60008(847) 917-9974 Get Directions Write a Review

NPPES record last updated: September 20, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Bonnie Mija Kim Lcpc NPPES

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

BONNIE MIJA KIM LCPC (NPI 1336011287) is an individual counselor in Rolling Meadows, Illinois, licensed in Illinois (180.01.14880) and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1336011287

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameBONNIE MIJA KIMCredential: LCPC

Location Address4200 EUCLID AVE STE 104Rolling Meadows, IL 60008-2083

Mailing Address4200 Euclid Ave Ste 104Rolling Meadows, IL 60008-2083 · (847) 917-9974

Phone(847) 917-9974

Sole ProprietorYes

Medical School CMSOtherGraduated 2013

Enumeration DateSeptember 20, 2025

NPPES CertifiedSeptember 20, 2025

✔ NPI 1336011287 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 IL · 180.01.14880

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.

4200 EUCLID AVE STE 104, Rolling Meadows, IL 60008

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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 and accepts Medicare assignment

Bonnie Mija Kim Lcpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3971085291

PECOS Enrollment IDI20260305002727

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 4

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

MOSAIC WHOLENESS CENTER LLC

Counselor (Professional)

4200 EUCLID AVE STE 104
ROLLING MEADOWS, IL 60008

Cook County (847) 917-9974

JESSICA MARIE RENTERIA

Counselor (Professional)

4200 EUCLID AVE STE 104
ROLLING MEADOWS, IL 60008

Cook County (773) 850-4162

JESUS RIVERA III

Counselor (Mental Health)

4200 EUCLID AVE STE 104
ROLLING MEADOWS, IL 60008

Cook County (847) 925-7327

WESLEY WEITSEN LIOU

Counselor (Mental Health)

4200 EUCLID AVE STE 104
ROLLING MEADOWS, IL 60008

Cook County (847) 917-9974

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 Bonnie Kim's NPI number?

The NPI number for Bonnie Kim is 1336011287. It was assigned to this individual provider in the NPPES registry on September 20, 2025.

Where is Bonnie Kim located?

Bonnie Kim practices at 4200 Euclid Ave Ste 104, Rolling Meadows, IL 60008. The listed phone number is (847) 917-9974.

What is Bonnie Kim's specialty?

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

Is Bonnie Kim enrolled in Medicare?

Yes. Bonnie Kim is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Bonnie Kim was last updated on September 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.