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HELEN YOUNGJU KIM MA
NPI 1639672306
Student in an Organized Health Care Education/Training Program in Berkeley, CA

Active since March 08, 2018PECOS Enrolled
2222 BANCROFT WAY SPC 4300, BERKELEY, CA 94720(510) 642-9336 Get Directions Write a Review

NPPES record last updated: February 11, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 11, 2022, Mar 8, 2018 (2 updates tracked since 2018).

About Helen Youngju Kim Ma NPPES

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

HELEN YOUNGJU KIM MA (NPI 1639672306) is an individual student in an organized health care education/training program in Berkeley, California and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639672306
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameHELEN YOUNGJU KIMCredential: MA
Location Address2222 BANCROFT WAY SPC 4300Berkeley, CA 94720-4300
Mailing Address2222 Bancroft Way Spc 4300Berkeley, CA 94720-4300
Phone(510) 642-9336
Sole ProprietorYes
Enumeration DateMarch 8, 2018
Last NPPES UpdateFebruary 11, 20222 updates tracked since enumeration
✔ NPI 1639672306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2222 BANCROFT WAY SPC 4300, Berkeley, CA 94720
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Helen Youngju Kim Ma is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

HIMADHARI SHARMA MA
Psychologist (Counseling)
2222 BANCROFT WAY SPC 4300
BERKELEY, CA 94720
Alameda County (510) 642-9494
DR. MATTHEW READER GOODMAN PH.D.
Psychologist (Counseling)
2222 BANCROFT WAY SPC 4300
BERKELEY, CA 94720
Alameda County (510) 642-0695
NAWAR ALBARAK
Counselor (Mental Health)
2222 BANCROFT WAY SPC 4300
BERKELEY, CA 94720
Alameda County (510) 642-9494
JESSICA ACOCK CARLISLE
Student in an Organized Health Care Education/Training Program
2222 BANCROFT WAY SPC 4300
BERKELEY, CA 94720
Alameda County (510) 642-2367
ZIYI WANG
Student in an Organized Health Care Education/Training Program
2222 BANCROFT WAY SPC 4300
BERKELEY, CA 94720
Alameda County (510) 642-9494
SHAO-JUNG KO
Psychologist (Counseling)
2222 BANCROFT WAY SPC 4300
BERKELEY, CA 94720
Alameda County (510) 642-9336
AAMINA SHABEER MA
Counselor (Mental Health)
2222 BANCROFT WAY SPC 4300
BERKELEY, CA 94720
Alameda County (510) 642-9494
AMBER JONES A.M., LCSW
Social Worker (Clinical)
2222 BANCROFT WAY SPC 4300
BERKELEY, CA 94720
Alameda County (510) 642-9494

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 Helen Kim's NPI number?

The NPI number for Helen Kim is 1639672306. It was assigned to this individual provider in the NPPES registry on March 8, 2018.

Where is Helen Kim located?

Helen Kim practices at 2222 Bancroft Way Spc 4300, Berkeley, CA 94720. The listed phone number is (510) 642-9336.

What is Helen Kim's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Helen Kim enrolled in Medicare?

Yes. Helen Kim is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Helen Kim was last updated on February 11, 2022. 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.