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STELLA KIM PSYD
NPI 1659621415
Psychologist - Clinical in Los Angeles, CA

Active since September 19, 2012PECOS EnrolledAccepts Medicare Assignment
8616 LA TIJERA BLVD STE 200, LOS ANGELES, CA 90045(310) 337-1550(800) 549-4717 Get Directions Write a Review

NPPES record last updated: September 20, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 20, 2024, May 1, 2023, Sep 16, 2022 and 2 more (5 updates tracked since 2020).

About Stella Kim Psyd NPPES

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

STELLA KIM PSYD (NPI 1659621415) is an individual clinical provider in Los Angeles, California, licensed in California (35000) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS, maintains a secondary practice location in Van Nuys, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1659621415
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameSTELLA KIMCredential: PSYD
Location Address8616 LA TIJERA BLVD STE 200Los Angeles, CA 90045-3945
Mailing Address515 Concord St Apt 105Glendale, CA 91203-2817 · (562) 858-7887
Phone(310) 337-1550
Fax(800) 549-4717
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 19, 2012
Last NPPES UpdateSeptember 20, 20245 updates tracked since enumeration
NPPES CertifiedSeptember 20, 2024
✔ NPI 1659621415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Licenses✔ Licensed in CA · 35000✔ Licensed in CA · 94024164
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedRehabilitation PractitionerTaxonomy 225400000X
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
8616 LA TIJERA BLVD STE 200, Los Angeles, CA 90045
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Secondary Practice Location 1

Location 16931 Van Nuys Blvd Ste 200Van Nuys, CA 91405-3996 · Phone (818) 989-9214

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

Stella Kim Psyd 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 ID2961985197
PECOS Enrollment IDI20260316001271
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 Stella Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Well Mental Health Counseling Licensed Clinical Social Worker Inc
22 mi
Mental Health
6 CENTERPOINTE DR STE 700
La Palma, CA 90623
  • Reassigned Medicare billing, California enrollment
  • 15 clinicians in this Medicare group
NPI 1942080981 (213) 331-7774

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90045 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$187.60 typical visit price
range $62.96 – $187.60
Typical copayment $46.90 (range $15.74 – $46.90)
Most-billed visit code 99205
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

THOMAS EARL MORNINGSTAR
Peer Specialist
8616 LA TIJERA BLVD STE 200
LOS ANGELES, CA 90045
Los Angeles County (310) 337-1550
CATHERINE ESTACIO
Social Worker (Clinical)
8616 LA TIJERA BLVD STE 200
LOS ANGELES, CA 90045
Los Angeles County (310) 337-1550
ARINA KIM
Marriage & Family Therapist
8616 LA TIJERA BLVD STE 200
LOS ANGELES, CA 90045
Los Angeles County (310) 337-1550
DALIA GONZALEZ
Community Health Worker
8616 LA TIJERA BLVD STE 200
LOS ANGELES, CA 90045
Los Angeles County (310) 337-1550
DONALD XIONG AMFT
Marriage & Family Therapist
8616 LA TIJERA BLVD STE 200
LOS ANGELES, CA 90045
Los Angeles County (310) 337-1550
PACIFIC ASIAN COUNSELING SERVICES
Community/Behavioral Health
8616 LA TIJERA BLVD STE 200
LOS ANGELES, CA 90045
Los Angeles County (310) 337-1550
MS. JENNIFER NICHOLE JENKINS
Marriage & Family Therapist
8616 LA TIJERA BLVD STE 200
LOS ANGELES, CA 90045
Los Angeles County (310) 337-1550
PACIFIC ASIAN COUNSELING SERVICES
Counselor (Mental Health)
8616 LA TIJERA BLVD STE 200
LOS ANGELES, CA 90045
Los Angeles County (310) 337-1550

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 Stella Kim's NPI number?

The NPI number for Stella Kim is 1659621415. It was assigned to this individual provider in the NPPES registry on September 19, 2012.

Where is Stella Kim located?

Stella Kim practices at 8616 La Tijera Blvd Ste 200, Los Angeles, CA 90045. The listed phone number is (310) 337-1550.

What is Stella Kim's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Stella Kim enrolled in Medicare?

Yes. Stella 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 Stella Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stella Kim reassigns Medicare benefits to Well Mental Health Counseling Licensed Clinical Social Worker Inc (La Palma, CA). 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 Stella 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 Stella Kim was last updated on September 20, 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.