CAROLYN KIM MFT - NPI 1346590817 - Marriage & Family Therapist in Encino, CA

Q: What is Carolyn Kim's NPI number?

The NPI number for Carolyn Kim is 1346590817. It was assigned to this individual provider in the NPPES registry on September 12, 2012.

Q: What is Carolyn Kim's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: Is Carolyn Kim enrolled in Medicare?

No. Carolyn Kim has opted out of Medicare through October 15, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Carolyn Kim was last updated on February 4, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Carolyn Kim Mft NPPES

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

CAROLYN KIM MFT (NPI 1346590817) is an individual marriage & family therapist in Encino, California, licensed in California (MFT90023) and active in the NPI registry since September 2012. She has opted out of Medicare through October 15, 2026 and maintains a secondary practice location in Los Angeles.

NPPES Registry Identity

NPI1346590817

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameCAROLYN KIMCredential: MFT

Location Address16055 VENTURA BLVD STE 715Encino, CA 91436-2610

Mailing Address16055 Ventura Blvd Ste 715Encino, CA 91436-2610 · (424) 532-0020

Phone(424) 532-0020

Sole ProprietorYes

Enumeration DateSeptember 12, 2012

Last NPPES UpdateFebruary 4, 2026

NPPES CertifiedFebruary 4, 2026

✔ NPI 1346590817 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · MFT90023

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

16055 VENTURA BLVD STE 715, Encino, CA 91436

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Secondary Practice Location 1

Location 111030 Santa Monica Blvd Ste 302Los Angeles, CA 90025-7590 · Phone (424) 532-0020 ext. 51300

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Carolyn Kim Mft has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 15, 2024 through October 15, 2026.

Opt-Out Effective DateOctober 15, 2024

Opt-Out In Effect ThroughOctober 15, 2026Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 14

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

JACOB GISIS

Psychologist