MI KYONG KIM
NPI 1477803781
Counselor - Mental Health in San Rafael, CA

Q: What is Mi Kim's NPI number?

The NPI number for Mi Kim is 1477803781. It was assigned to this individual provider in the NPPES registry on September 13, 2012.

Q: What is Mi Kim's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mi Kim was last updated on September 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since September 13, 2012

555 NORTHGATE DRIVE, SAN RAFAEL, CA 94903(415) 491-5700(415) 491-5750 Get Directions Write a Review

NPPES record last updated: September 13, 2012. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Mi Kyong Kim NPPES

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

MI KYONG KIM (NPI 1477803781) is an individual mental health provider in San Rafael, California, licensed in California (IMF 61859) and active in the NPI registry since September 2012.

NPPES Registry Identity

NPI1477803781

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameMI KYONG KIM

Location Address555 NORTHGATE DRIVESan Rafael, CA 94903-3680

Mailing Address5422 Fulton StSan Francisco, CA 94121 · (415) 255-2531

Phone(415) 491-5700

Fax(415) 491-5750

Sole ProprietorYes

Enumeration DateSeptember 13, 2012

✔ NPI 1477803781 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in CA · IMF 61859

555 NORTHGATE DRIVE, San Rafael, CA 94903

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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.

MICHAL FALK PHD

Counselor (Mental Health)

555 NORTHGATE DRIVE, FAMILY SERVICE AGENCY OF MARIN
SAN RAFAEL, CA 94903

Marin County (415) 491-5700

MR. THOMAS WALTER KESSLER MFT TRAINEE

Counselor (Mental Health)

555 NORTHGATE DRIVE, FAMILY SERVICES AGENCY OF MARIN
SAN RAFAEL, CA 94903

Marin County (415) 491-5700

TRACIE L EDDINGTON-BAILEY LCSW

Counselor (Mental Health)

555 NORTHGATE DRIVE, FAMILY SERVICE AGENCY OF MARIN
SAN RAFAEL, CA 94903

Marin County (415) 491-5700

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 Mi Kim's NPI number?

The NPI number for Mi Kim is 1477803781. It was assigned to this individual provider in the NPPES registry on September 13, 2012.

Where is Mi Kim located?

Mi Kim practices at 555 Northgate Drive, San Rafael, CA 94903. The listed phone number is (415) 491-5700.

What is Mi Kim's specialty?

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

When was this NPI record last updated?

The NPPES record for Mi Kim was last updated on September 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.