SOO JEE KIM LMFT
NPI 1730512633
Marriage & Family Therapist in Belmont, CA

Q: What is Soo Jee Kim's NPI number?

The NPI number for Soo Jee Kim is 1730512633. It was assigned to this individual provider in the NPPES registry on August 14, 2013.

Q: What is Soo Jee Kim's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Soo Jee Kim was last updated on March 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 August 14, 2013PECOS Enrolled

310 HARBOR BLVD BLDG E, BELMONT, CA 94002(808) 255-8440 Get Directions Write a Review

NPPES record last updated: March 24, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 24, 2021, Feb 24, 2016, Sep 28, 2015 (3 updates tracked since 2015).

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About Soo Jee Kim Lmft NPPES

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

SOO JEE KIM LMFT (NPI 1730512633) is an individual marriage & family therapist in Belmont, California and active in the NPI registry since August 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730512633

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameSOO JEE KIMCredential: LMFT

Location Address310 HARBOR BLVD BLDG EBelmont, CA 94002-4018

Mailing Address310 Harbor Blvd Bldg EBelmont, CA 94002-4018 · (808) 255-8440

Phone(808) 255-8440

Sole ProprietorYes

Enumeration DateAugust 14, 2013

Last NPPES UpdateMarch 24, 20213 updates tracked since enumeration

NPPES CertifiedMarch 24, 2021

✔ NPI 1730512633 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

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 IMF76682 (CA)

310 HARBOR BLVD BLDG E, Belmont, CA 94002

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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)

Soo Jee Kim Lmft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 16

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

DR. TSUEY-JING FAN PH.D.

Psychologist (Clinical)