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JESSICA KIM LMHC
NPI 1710599360
Counselor - Mental Health in Rutland, VT

Active since August 17, 2020Opted out of Medicare · through Mar 13, 2028
300 S MAIN ST # 1020, RUTLAND, VT 05701(401) 484-0559(401) 240-1207 Get Directions Write a Review

NPPES record last updated: September 27, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 21, 2023, Aug 18, 2023, Sep 7, 2021 and 2 more (5 updates tracked since 2020).

About Jessica Kim Lmhc NPPES

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

JESSICA KIM LMHC (NPI 1710599360) is an individual mental health provider in Rutland, Vermont and active in the NPI registry since August 2020. She has opted out of Medicare through March 13, 2028.

NPPES Registry Identity

NPI1710599360
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJESSICA KIMCredential: LMHC
Location Address300 S MAIN ST # 1020Rutland, VT 05701-4907
Mailing Address300 S Main St # 1020Rutland, VT 05701-4907 · (401) 484-0559
Phone(401) 484-0559
Fax(401) 240-1207
Sole ProprietorYes
Enumeration DateAugust 17, 2020
Last NPPES UpdateSeptember 27, 20235 updates tracked since enumeration
NPPES CertifiedSeptember 27, 2023
✔ NPI 1710599360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
300 S MAIN ST # 1020, Rutland, VT 05701
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Harvard Pilgrim Health Care.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Jessica Kim Lmhc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 13, 2024 through March 13, 2028.

Opt-Out Effective DateMarch 13, 2024
Opt-Out In Effect ThroughMarch 13, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Jessica Kim's NPI number?

The NPI number for Jessica Kim is 1710599360. It was assigned to this individual provider in the NPPES registry on August 17, 2020.

Where is Jessica Kim located?

Jessica Kim practices at 300 S Main St # 1020, Rutland, VT 05701. The listed phone number is (401) 484-0559.

What is Jessica Kim's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Jessica Kim enrolled in Medicare?

No. Jessica Kim has opted out of Medicare through March 13, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Jessica Kim accept?

Health plans from Harvard Pilgrim Health Care list Jessica Kim as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jessica Kim was last updated on September 27, 2023. 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.