DR. JEONG HAN KIM PH.D., CRC
NPI 1336619790
Counselor in Lubbock, TX

Active since November 28, 2018
3601 4TH ST STOP 6225, LUBBOCK, TX 79430(806) 743-2135(806) 743-3244 Get Directions Write a Review

NPPES record last updated: November 28, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Jeong Han Kim Ph.d., Crc NPPES

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

DR. JEONG HAN KIM PH.D., CRC (NPI 1336619790) is an individual counselor in Lubbock, Texas and active in the NPI registry since November 2018.

NPPES Registry Identity

NPI1336619790
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameDR. JEONG HAN KIMCredential: PH.D., CRC
Location Address3601 4TH ST STOP 6225Lubbock, TX 79430-6225
Mailing Address3601 4th St Stop 6225Lubbock, TX 79430-6225 · (806) 743-2135 · Fax (806) 743-3244
Fax(806) 743-3244
Sole ProprietorNo
Enumeration DateNovember 28, 2018
NPI 1336619790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
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.
3601 4TH ST STOP 6225, Lubbock, TX 79430

Other Providers at the Same Location NPPES 3

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

Counselor
3601 4TH ST STOP 6225
LUBBOCK, TX 79430
Rehabilitation Counselor
3601 4TH ST STOP 6225
LUBBOCK, TX 79430
Counselor
3601 4TH ST STOP 6225
LUBBOCK, TX 79430

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 Jeong Han Kim's NPI number?

The NPI number for Jeong Han Kim is 1336619790. It was assigned to this individual provider in the NPPES registry on November 28, 2018.

Where is Jeong Han Kim located?

Jeong Han Kim practices at 3601 4th St Stop 6225, Lubbock, TX 79430. The listed phone number is (806) 743-2135.

What is Jeong Han Kim's specialty?

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

When was this NPI record last updated?

The NPPES record for Jeong Han Kim was last updated on November 28, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.