SOOHYUN KIM
NPI 1336804418
Counselor - Mental Health in Commack, NY

Active since November 03, 2021PECOS EnrolledAccepts Medicare Assignment
2171 JERICHO TPKE, COMMACK, NY 11725(516) 817-6002 Get Directions Write a Review

NPPES record last updated: November 3, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Soohyun Kim NPPES

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

SOOHYUN KIM (NPI 1336804418) is an individual mental health provider in Commack, New York, licensed in New York (P111995) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1336804418
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSOOHYUN KIM
Location Address2171 JERICHO TPKECommack, NY 11725-2937
Mailing Address6174b 223rd PlOakland Gardens, NY 11364-2329 · (845) 521-5199
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateNovember 3, 2021
NPPES CertifiedNovember 3, 2021
NPI 1336804418 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in NY · P111995
2171 JERICHO TPKE, Commack, NY 11725

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

Soohyun Kim 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 ID2466899554
PECOS Enrollment IDI20240325003482
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 20

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

Speech-Language Pathologist
2171 JERICHO TPKE, SUITE 340
COMMACK, NY 11725
Internal Medicine (Cardiovascular Disease)
2171 JERICHO TPKE, SUITE 100
COMMACK, NY 11725
Nurse Practitioner (Family)
2171 JERICHO TPKE
COMMACK, NY 11725
Durable Medical Equipment & Medical Supplies (Customized Equipment)
2171 JERICHO TPKE, SUITE 100
COMMACK, NY 11725
Social Worker
2171 JERICHO TPKE
COMMACK, NY 11725
Early Intervention Provider Agency
2171 JERICHO TPKE, SUITE #340
COMMACK, NY 11725
Internal Medicine
2171 JERICHO TPKE, SUITE 304
COMMACK, NY 11725
Speech-Language Pathologist
2171 JERICHO TPKE, SUITE 340
COMMACK, NY 11725

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 Soohyun Kim's NPI number?

The NPI number for Soohyun Kim is 1336804418. It was assigned to this individual provider in the NPPES registry on November 3, 2021.

Where is Soohyun Kim located?

Soohyun Kim practices at 2171 Jericho Tpke, Commack, NY 11725. The listed phone number is (516) 817-6002.

What is Soohyun Kim's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Soohyun Kim enrolled in Medicare?

Yes. Soohyun 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 Soohyun Kim was last updated on November 3, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.