CHRISTINE KIM
NPI 1396115531
Marriage & Family Therapist in San Francisco, CA

Active since September 30, 2015Opted out of Medicare · through Jan 10, 2028
414 GOUGH ST STE 5, SAN FRANCISCO, CA 94102(415) 490-6263 Get Directions Write a Review

NPPES record last updated: September 30, 2015. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Christine Kim NPPES

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

CHRISTINE KIM (NPI 1396115531) is an individual marriage & family therapist in San Francisco, California, licensed in California (86489) and active in the NPI registry since September 2015. She has opted out of Medicare through January 10, 2028.

NPPES Registry Identity

NPI1396115531
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameCHRISTINE KIM
Location Address414 GOUGH ST STE 5San Francisco, CA 94102-4474
Mailing Address265 Dalewood WaySan Francisco, CA 94127-1652 · (415) 490-6263
Sole ProprietorYes
Enumeration DateSeptember 30, 2015
NPI 1396115531 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 · 86489
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.
414 GOUGH ST STE 5, San Francisco, CA 94102

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Christine Kim 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 January 10, 2024 through January 10, 2028.

Opt-Out Effective DateJanuary 10, 2024
Opt-Out In Effect ThroughJanuary 10, 2028Opt-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 3

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

Counselor (Mental Health)
414 GOUGH ST STE 5
SAN FRANCISCO, CA 94102
Marriage & Family Therapist
414 GOUGH ST STE 5
SAN FRANCISCO, CA 94102
Marriage & Family Therapist
414 GOUGH ST STE 5
SAN FRANCISCO, CA 94102

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 Christine Kim's NPI number?

The NPI number for Christine Kim is 1396115531. It was assigned to this individual provider in the NPPES registry on September 30, 2015.

Where is Christine Kim located?

Christine Kim practices at 414 Gough St Ste 5, San Francisco, CA 94102. The listed phone number is (415) 490-6263.

What is Christine Kim's specialty?

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

Is Christine Kim enrolled in Medicare?

No. Christine Kim has opted out of Medicare through January 10, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Christine Kim was last updated on September 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.