KI YOUNG SONG
NPI 1386307494
Counselor - Mental Health in Chelsea, MA
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
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Ki Young Song reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Burlington, MA 01803
- Reassigned Medicare billing, Massachusetts enrollment
- 65 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
Which organization bills Medicare for Ki Young Song's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ki Young Song reassigns Medicare benefits to Tmin Services, Inc. (Burlington, MA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ki Young Song's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ki Young Song accept?
Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Ki Young Song as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
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 5 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.
# Ki Young Song · NPI 1386307494
Mental Health provider in Chelsea, Massachusetts. Individual provider, active in the CMS NPPES registry since October 15, 2021.
## Identity
- **NPI:** 1386307494 (Entity type: Individual)
- **Enumerated:** October 15, 2021
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Sole proprietor:** No
## Practice location
- **Address:** 301 BROADWAY, Chelsea, MA 02150-2807
- **Phone:** (617) 889-4860
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Tmin Services, Inc. (NPI 1225734262, Burlington, MA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** October 15, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1386307494) · Data from the CMS NPPES public registry.