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JENNIFER JO JO KIM PHD
NPI 1427714583
Psychologist - Clinical in Des Plaines, IL

Active since November 12, 2021Opted out of Medicare · through Apr 1, 2028
1585 ELLINWOOD AVE STE 106, DES PLAINES, IL 60016(847) 877-3970 Get Directions Write a Review

NPPES record last updated: November 12, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jennifer Jo Jo Kim Phd NPPES

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

JENNIFER JO JO KIM PHD (NPI 1427714583) is an individual clinical provider in Des Plaines, Illinois, licensed in Illinois (071.006702) and active in the NPI registry since November 2021. She has opted out of Medicare through April 1, 2028.

NPPES Registry Identity

NPI1427714583
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameJENNIFER JO JO KIMCredential: PHD
Location Address1585 ELLINWOOD AVE STE 106Des Plaines, IL 60016-4535
Mailing Address325 Park AveWilmette, IL 60091-2547 · (312) 498-7572
Phone(847) 877-3970
Sole ProprietorNo
Enumeration DateNovember 12, 2021
NPPES CertifiedNovember 12, 2021
✔ NPI 1427714583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in IL · 071.006702
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
1585 ELLINWOOD AVE STE 106, Des Plaines, IL 60016
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Jennifer Jo Jo Kim Phd 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 April 1, 2024 through April 1, 2028.

Opt-Out Effective DateApril 1, 2024
Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 4

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

DR. DEBORAH L GARMAN PSY.D.
Psychologist (Clinical)
1585 ELLINWOOD AVE STE 106
DES PLAINES, IL 60016
Cook County (847) 877-3970
MS. MAUREEN M MARTIN LCPC
Counselor (Professional)
1585 ELLINWOOD AVE STE 106
DES PLAINES, IL 60016
Cook County (847) 877-3970
CHARLOTTE WALKER LCSW
Social Worker (Clinical)
1585 ELLINWOOD AVE STE 106
DES PLAINES, IL 60016
Cook County (847) 877-3970
CBB COUNSELING, PLLC
Clinic/Center (Adult Mental Health)
1585 ELLINWOOD AVE STE 106
DES PLAINES, IL 60016
Cook County (310) 403-3825

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 Jennifer Jo Kim's NPI number?

The NPI number for Jennifer Jo Kim is 1427714583. It was assigned to this individual provider in the NPPES registry on November 12, 2021.

Where is Jennifer Jo Kim located?

Jennifer Jo Kim practices at 1585 Ellinwood Ave Ste 106, Des Plaines, IL 60016. The listed phone number is (847) 877-3970.

What is Jennifer Jo Kim's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Jennifer Jo Kim enrolled in Medicare?

No. Jennifer Jo Kim has opted out of Medicare through April 1, 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 Jennifer Jo Kim was last updated on November 12, 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.