1. Home
  2. Directory
  3. Massachusetts
  4. Chelsea
  5. Counselor
  6. NPI Profile

KI YOUNG SONG
NPI 1386307494
Counselor - Mental Health in Chelsea, MA

Active since October 15, 2021PECOS EnrolledAccepts Medicare Assignment
301 BROADWAY, CHELSEA, MA 02150(617) 889-4860 Get Directions Write a Review

NPPES record last updated: October 15, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ki Young Song NPPES

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

KI YOUNG SONG (NPI 1386307494) is an individual mental health provider in Chelsea, Massachusetts and active in the NPI registry since October 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1386307494
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameKI YOUNG SONG
Location Address301 BROADWAYChelsea, MA 02150-2807
Mailing Address301 BroadwayChelsea, MA 02150-2807 · (617) 889-4860
Phone(617) 889-4860
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateOctober 15, 2021
NPPES CertifiedOctober 15, 2021
✔ NPI 1386307494 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
301 BROADWAY, Chelsea, MA 02150
Open in Google Maps ↗

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

Ki Young Song 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 ID3779052071
PECOS Enrollment IDI20260515002157
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.

ELIZABETH CABRERA
Counselor
301 BROADWAY
CHELSEA, MA 02150
Suffolk County (617) 912-7912
DEBBIE LOPEZ
Social Worker
301 BROADWAY
CHELSEA, MA 02150
Suffolk County (617) 488-5796
MR. MANUEL DE PENA
Counselor
301 BROADWAY
CHELSEA, MA 02150
Suffolk County (617) 972-7914
CAITLIN MARCHETTA
Social Worker
301 BROADWAY
CHELSEA, MA 02150
Suffolk County (617) 912-7914
DAVID LOPEZ
Counselor
301 BROADWAY
CHELSEA, MA 02150
Suffolk County (617) 912-7914
MARK EDWARD DIRSCHEL RN
Registered Nurse
301 BROADWAY
CHELSEA, MA 02150
Suffolk County (617) 912-7912
MRS. MARIA DE LOURDES SANTOS LOPATA
Social Worker
301 BROADWAY
CHELSEA, MA 02150
Suffolk County (781) 729-5689
MISTERE AYELE
Counselor
301 BROADWAY
CHELSEA, MA 02150
Suffolk County (617) 912-7914

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 Ki Young Song's NPI number?

The NPI number for Ki Young Song is 1386307494. It was assigned to this individual provider in the NPPES registry on October 15, 2021.

Where is Ki Young Song located?

Ki Young Song practices at 301 Broadway, Chelsea, MA 02150. The listed phone number is (617) 889-4860.

What is Ki Young Song's specialty?

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

Is Ki Young Song enrolled in Medicare?

Yes. Ki Young Song 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 Ki Young Song was last updated on October 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.