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NANCI HYUN RYUNG KIM LMFT
NPI 1659618312
Marriage & Family Therapist in Fremont, CA

Active since January 14, 2013PECOS Enrolled
39812 MISSION BLVD STE 106, FREMONT, CA 94539(510) 500-5964 Get Directions Write a Review

NPPES record last updated: March 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 30, 2025, Dec 10, 2021, Feb 24, 2021 and 3 more (6 updates tracked since 2016).

About Nanci Hyun Ryung Kim Lmft NPPES

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

NANCI HYUN RYUNG KIM LMFT (NPI 1659618312) is an individual marriage & family therapist in Fremont, California, licensed in California (95979) and active in the NPI registry since January 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1659618312
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameNANCI HYUN RYUNG KIMCredential: LMFT
Location Address39812 MISSION BLVD STE 106Fremont, CA 94539-3087
Mailing Address39812 Mission Blvd Ste 106Fremont, CA 94539-3087 · (510) 500-5964
Phone(510) 500-5964
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJanuary 14, 2013
Last NPPES UpdateMarch 30, 20256 updates tracked since enumeration
NPPES CertifiedMarch 30, 2025
✔ NPI 1659618312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 95979
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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 95979 (CA)
39812 MISSION BLVD STE 106, Fremont, CA 94539
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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)

Nanci Hyun Ryung Kim Lmft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4284140005
PECOS Enrollment IDI20250718003831
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 4

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

JANE OHGI KIM
Psychologist
39812 MISSION BLVD STE 106
FREMONT, CA 94539
Alameda County (510) 294-8018
TRACY TSZE-YEA YEN NG
Marriage & Family Therapist
39812 MISSION BLVD STE 106
FREMONT, CA 94539
Alameda County (510) 399-4414
DR. JANE O. KIM PSYCHOLOGICAL SERVICES, P.C.
Psychologist (Clinical)
39812 MISSION BLVD STE 106
FREMONT, CA 94539
Alameda County (650) 294-8018
GENTLE HEALING TRAUMA PSYCHOTHERAPY
Marriage & Family Therapist
39812 MISSION BLVD STE 106
FREMONT, CA 94539
Alameda County (510) 366-8581

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 Nanci Kim's NPI number?

The NPI number for Nanci Kim is 1659618312. It was assigned to this individual provider in the NPPES registry on January 14, 2013.

Where is Nanci Kim located?

Nanci Kim practices at 39812 Mission Blvd Ste 106, Fremont, CA 94539. The listed phone number is (510) 500-5964.

What is Nanci Kim's specialty?

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

Is Nanci Kim enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Nanci Kim was last updated on March 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.