1. Home
  2. Directory
  3. California
  4. Orange
  5. Marriage Family Therapist
  6. NPI Profile

JUNGWON KIM LMFT
NPI 1649609447
Marriage & Family Therapist in Orange, CA

Active since November 02, 2013PECOS EnrolledAccepts Medicare Assignment
701 S PARKER ST STE 2800, ORANGE, CA 92868(925) 282-1778(415) 296-5299 Get Directions Write a Review

NPPES record last updated: July 18, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 18, 2024, Jun 23, 2021 (2 updates tracked since 2021).

About Jungwon Kim Lmft NPPES

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

JUNGWON KIM LMFT (NPI 1649609447) is an individual marriage & family therapist in Orange, California, licensed in California (113142) and active in the NPI registry since November 2013. She is enrolled in Medicare PECOS, maintains a secondary practice location in Buena Park, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1649609447
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameJUNGWON KIMCredential: LMFT
Location Address701 S PARKER ST STE 2800Orange, CA 92868-4720
Mailing Address701 S Parker St Ste 2800Orange, CA 92868-4720 · (925) 282-1778 · Fax (415) 296-5299
Phone(925) 282-1778
Fax(415) 296-5299
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateNovember 2, 2013
Last NPPES UpdateJuly 18, 20242 updates tracked since enumeration
NPPES CertifiedJuly 18, 2024
✔ NPI 1649609447 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 · 113142
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.
701 S PARKER ST STE 2800, Orange, CA 92868
Open in Google Maps ↗

Secondary Practice Location 1

Location 17212 Orangethorpe Ave Ste 9ABuena Park, CA 90621-4668 · Phone (714) 503-6550 · Fax (714) 409-3075

Other Identifiers 1

OtherF1409566CA · Driver's License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jungwon Kim Lmft is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID42757536
PECOS Enrollment IDI20240801002634
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.

Medicare Billing Reassignment

Medicare enrollment records show Jungwon Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pacific Coast Psychiatric Associates Inc
342 mi
Clinical
7373 N SCOTTSDALE RD STE A199
Scottsdale, AZ 85253
  • Reassigned Medicare billing, California enrollment
  • 766 clinicians in this Medicare group
NPI 1023125465 (702) 805-5360

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

Other Providers at the Same Location NPPES 17

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

VANESSA FLORES LCSW
Social Worker (Clinical)
701 S PARKER ST STE 2800
ORANGE, CA 92868
Orange County (925) 282-1778
DHWANI WIER PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
701 S PARKER ST STE 2800
ORANGE, CA 92868
Orange County (925) 282-1778
DEBORAH JOHNSON SPANDIKOW PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
701 S PARKER ST STE 2800
ORANGE, CA 92868
Orange County (925) 282-1778
NAMJU SEONG PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
701 S PARKER ST STE 2800
ORANGE, CA 92868
Orange County (925) 282-1778
DR. ANA MARTINEZ DE ANDINO PHD, LP
Psychologist (Clinical)
701 S PARKER ST STE 2800
ORANGE, CA 92868
Orange County (925) 282-1778
MRS. MARINA ELENA VENTURA L.V.N.1963, LMFT
Marriage & Family Therapist
701 S PARKER ST STE 2800
ORANGE, CA 92868
Orange County (925) 282-1778
ALLISON BOREL KLEPONIS LCSW
Social Worker (Clinical)
701 S PARKER ST STE 2800
ORANGE, CA 92868
Orange County (925) 282-1778
MRS. LISA ABBY GAIL JOHNSON NP, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
701 S PARKER ST STE 2800
ORANGE, CA 92868
Orange County (925) 282-1778

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 Jungwon Kim's NPI number?

The NPI number for Jungwon Kim is 1649609447. It was assigned to this individual provider in the NPPES registry on November 2, 2013.

Where is Jungwon Kim located?

Jungwon Kim practices at 701 S Parker St Ste 2800, Orange, CA 92868. The listed phone number is (925) 282-1778.

What is Jungwon Kim's specialty?

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

Is Jungwon Kim enrolled in Medicare?

Yes. Jungwon Kim is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Jungwon Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jungwon Kim reassigns Medicare benefits to Pacific Coast Psychiatric Associates Inc (Scottsdale, AZ). The 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 Jungwon Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jungwon Kim was last updated on July 18, 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.