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JAYEON KIM
NPI 1518729367
Marriage & Family Therapist in Albany, CA

Active since January 26, 2024Opted out of Medicare · through Jan 26, 2028
1118 CURTIS ST, ALBANY, CA 94706(312) 479-3417 Get Directions Write a Review

NPPES record last updated: January 26, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jayeon Kim NPPES

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

JAYEON KIM (NPI 1518729367) is an individual marriage & family therapist in Albany, California, licensed in California (144461) and active in the NPI registry since January 2024. She has opted out of Medicare through January 26, 2028.

NPPES Registry Identity

NPI1518729367
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameJAYEON KIM
Location Address1118 CURTIS STAlbany, CA 94706-2421
Mailing Address1118 Curtis StAlbany, CA 94706-2421
Phone(312) 479-3417
Sole ProprietorYes
Enumeration DateJanuary 26, 2024
NPPES CertifiedJanuary 26, 2024
✔ NPI 1518729367 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 · 144461
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.
1118 CURTIS ST, Albany, CA 94706
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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

Jayeon 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 26, 2024 through January 26, 2028.

Opt-Out Effective DateJanuary 26, 2024
Opt-Out In Effect ThroughJanuary 26, 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.

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 Jayeon Kim's NPI number?

The NPI number for Jayeon Kim is 1518729367. It was assigned to this individual provider in the NPPES registry on January 26, 2024.

Where is Jayeon Kim located?

Jayeon Kim practices at 1118 Curtis St, Albany, CA 94706. The listed phone number is (312) 479-3417.

What is Jayeon Kim's specialty?

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

Is Jayeon Kim enrolled in Medicare?

No. Jayeon Kim has opted out of Medicare through January 26, 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 Jayeon Kim was last updated on January 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.