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MS. ROSEANNE KIM LMFT
NPI 1730116526
Marriage & Family Therapist in Woodland, CA

Active since June 27, 2006PECOS EnrolledAccepts Medicare Assignment
1207 FAIRCHILD CT, WOODLAND, CA 95695(530) 668-2600(530) 669-5627 Get Directions Write a Review

NPPES record last updated: November 16, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 16, 2023, Mar 9, 2023 (2 updates tracked since 2023).

About Ms. Roseanne Kim Lmft NPPES

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

MS. ROSEANNE KIM LMFT (NPI 1730116526) is an individual marriage & family therapist in Woodland, California, licensed in California (MFC 40643) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1730116526
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMS. ROSEANNE KIMCredential: LMFT
Location Address1207 FAIRCHILD CTWoodland, CA 95695-4321
Mailing Address3400 Data DrRancho Cordova, CA 95670-7956
Phone(530) 668-2600
Fax(530) 669-5627
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateJune 27, 2006
Last NPPES UpdateNovember 16, 20232 updates tracked since enumeration
NPPES CertifiedNovember 16, 2023
✔ NPI 1730116526 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 · MFC 40643
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.
1207 FAIRCHILD CT, Woodland, CA 95695
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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

Ms. Roseanne 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 ID9133578222
PECOS Enrollment IDI20231214002436
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 Roseanne Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Chw Medical Foundation
Same address
Multi-Specialty
515 FAIRCHILD CT
Woodland, CA 95695
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Dignity Health Medical Foundation
  • 1,191 clinicians in this Medicare group
NPI 1881994085 (530) 668-2600

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 20

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

MR. MICHAEL W SPERLING M.S.
Audiologist-Hearing Aid Fitter
1207 FAIRCHILD CT
WOODLAND, CA 95695
Yolo County (530) 666-1631
MR. ETELBERTO GUZMAN SR. MSW
Social Worker (Clinical)
1207 FAIRCHILD CT
WOODLAND, CA 95695
Yolo County (530) 668-2600
MS. AMIE DILLER CNM
Advanced Practice Midwife
1207 FAIRCHILD CT
WOODLAND, CA 95695
Yolo County (530) 666-1631
ABBY CORKEN AMFT
Marriage & Family Therapist
1207 FAIRCHILD CT
WOODLAND, CA 95695
Yolo County (916) 910-4279
MRS. NAN L SAUNDERS FNP
Nurse Practitioner (Family)
1207 FAIRCHILD CT
WOODLAND, CA 95695
Yolo County (530) 666-1631
DR. CONG ZHANG M.D., PH.D.
Internal Medicine (Medical Oncology)
1207 FAIRCHILD CT
WOODLAND, CA 95695
Yolo County (530) 662-3961
LUCY H FUNK MD
Psychiatry & Neurology (Psychiatry)
1207 FAIRCHILD CT
WOODLAND, CA 95695
Yolo County (530) 668-2600
DR. PETER J KOCH M.D.
Obstetrics & Gynecology
1207 FAIRCHILD CT
WOODLAND, CA 95695
Yolo County (530) 666-1631

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 Roseanne Kim's NPI number?

The NPI number for Roseanne Kim is 1730116526. It was assigned to this individual provider in the NPPES registry on June 27, 2006.

Where is Roseanne Kim located?

Roseanne Kim practices at 1207 Fairchild Ct, Woodland, CA 95695. The listed phone number is (530) 668-2600.

What is Roseanne Kim's specialty?

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

Is Roseanne Kim enrolled in Medicare?

Yes. Roseanne 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 Roseanne Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Roseanne Kim reassigns Medicare benefits to Chw Medical Foundation (Woodland, 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 Roseanne 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 Roseanne Kim was last updated on November 16, 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.