GENTLE HEALING TRAUMA PSYCHOTHERAPY
NPI 1609679281
Marriage & Family Therapist in Fremont, CA

Active since March 31, 2025
39812 MISSION BLVD STE 106, FREMONT, CA 94539(510) 366-8581 Get Directions Write a Review

NPPES record last updated: June 29, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 29, 2025, Apr 7, 2025, Mar 31, 2025 (3 updates tracked since 2025).

About Gentle Healing Trauma Psychotherapy NPPES

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

GENTLE HEALING TRAUMA PSYCHOTHERAPY (NPI 1609679281), doing business as Gentle Healing Space, is a healthcare organization registered as a marriage & family therapist in Fremont, California and active in the NPI registry since March 2025. The organization lists Nanci Hyun Ryung Kim, Owner, Lmft, as its authorized official.

NPPES Registry Identity

NPI1609679281
Entity TypeOrganization
Primary Taxonomy106H00000X
Legal Business NameGENTLE HEALING TRAUMA PSYCHOTHERAPY
Location Address39812 MISSION BLVD STE 106Fremont, CA 94539-3087
Mailing Address39812 Mission Blvd Ste 106Fremont, CA 94539-3087 · (510) 366-8581
Organization SubpartNo
Authorized OfficialNanci Hyun Ryung KimOwner, Lmft · (510) 500-5964
Enumeration DateMarch 31, 2025
Last NPPES UpdateJune 29, 20253 updates tracked since enumeration
NPPES CertifiedJune 29, 2025
✔ NPI 1609679281 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
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.
39812 MISSION BLVD STE 106, Fremont, CA 94539

Other Names 1

Doing Business AsGentle Healing Space

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gentle Healing Trauma Psychotherapy is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Gentle Healing Trauma Psychotherapy, which bills Medicare for the services this clinician delivers.

Clinician (1)

Marriage and Family Therapist
NPI 1659618312
39812 MISSION BLVD STE 106
Fremont, CA 94539
(510) 500-5964
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Gentle Healing Trauma Psychotherapy's NPI number?

The NPI number for Gentle Healing Trauma Psychotherapy is 1609679281. It was assigned to this organization in the NPPES registry on March 31, 2025. The provider is doing business as Gentle Healing Space.

Where is Gentle Healing Trauma Psychotherapy located?

Gentle Healing Trauma Psychotherapy is located at 39812 Mission Blvd Ste 106, Fremont, CA 94539. The listed phone number is (510) 366-8581.

What is Gentle Healing Trauma Psychotherapy's specialty?

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

Is Gentle Healing Trauma Psychotherapy enrolled in Medicare?

Yes. Gentle Healing Trauma Psychotherapy is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Gentle Healing Trauma Psychotherapy?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Marriage and Family Therapist) reassigns their Medicare billing to Gentle Healing Trauma Psychotherapy. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Gentle Healing Trauma Psychotherapy was last updated on June 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.