JI HYANG KIM LCSW
NPI 1659018570
Counselor - Mental Health in Worcester, MA

Q: What is Ji Hyang Kim's NPI number?

The NPI number for Ji Hyang Kim is 1659018570. It was assigned to this individual provider in the NPPES registry on May 13, 2022.

Q: What is Ji Hyang 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 Ji Hyang Kim was last updated on May 13, 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.

Active since May 13, 2022PECOS EnrolledAccepts Medicare Assignment

12 QUEEN ST, WORCESTER, MA 01610(508) 421-4411 Get Directions Write a Review

NPPES record last updated: May 13, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Ji Hyang Kim Lcsw NPPES

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

JI HYANG KIM LCSW (NPI 1659018570) is an individual mental health provider in Worcester, Massachusetts and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1659018570

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameJI HYANG KIMCredential: LCSW

Location Address12 QUEEN STWorcester, MA 01610-2411

Mailing Address12 Queen StWorcester, MA 01610-2411

Phone(508) 421-4411

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateMay 13, 2022

NPPES CertifiedMay 13, 2022

✔ NPI 1659018570 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

12 QUEEN ST, Worcester, MA 01610

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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 and accepts Medicare assignment

Ji Hyang Kim Lcsw 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 ID143690495

PECOS Enrollment IDI20221230001174

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837

Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.

93 services14 patients

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.

KAREN MAURO MSW

Social Worker (Clinical)