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MR. JIN S. KIM LMFT
NPI 1750744520
Marriage & Family Therapist in Los Angeles, CA

Active since March 30, 2016PECOS Enrolled
4221 WILSHIRE BLVD STE 450, LOS ANGELES, CA 90010(213) 537-3567 Get Directions Write a Review

NPPES record last updated: June 27, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 27, 2025, Nov 13, 2019, May 6, 2019 and 1 more (4 updates tracked since 2016).

About Mr. Jin S. Kim Lmft NPPES

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

MR. JIN S. KIM LMFT (NPI 1750744520) is an individual marriage & family therapist in Los Angeles, California, licensed in California (108148) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1750744520
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameMR. JIN S. KIMCredential: LMFT
Location Address4221 WILSHIRE BLVD STE 450Los Angeles, CA 90010-3548
Mailing Address909 N Spaulding AveWest Hollywood, CA 90046-6304 · (213) 537-3567
Phone(213) 537-3567
Sole ProprietorNo
Enumeration DateMarch 30, 2016
Last NPPES UpdateJune 27, 20254 updates tracked since enumeration
✔ NPI 1750744520 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 · 108148
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.
4221 WILSHIRE BLVD STE 450, Los Angeles, CA 90010
Open in Google Maps ↗

Secondary Practice Locations 2

Location 14221 Wilshire Blvd Ste 450Los Angeles, CA 90010-3548 · Phone (213) 537-3567
Location 21540 E Colorado StGlendale, CA 91205-1514 · Phone (818) 244-7257 · Fax (818) 243-5431

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Jin S. 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.

Medicare Billing Reassignment

Medicare enrollment records show Jin Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
3.0 mi
Health Maintenance Organization
4760 W SUNSET BLVD
Los Angeles, CA 90027
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1134151657 (323) 783-4011

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 4

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

NEW U THERAPY CENTER & FAMILY SERVICES INC.
Substance Abuse Rehabilitation Facility
4221 WILSHIRE BLVD STE 450
LOS ANGELES, CA 90010
Los Angeles County (818) 600-2034
CAROLINA LOUIS MFT INTERN
Marriage & Family Therapist
4221 WILSHIRE BLVD STE 450
LOS ANGELES, CA 90010
Los Angeles County (562) 283-4010
SONYE RASOOL AMFT
Marriage & Family Therapist
4221 WILSHIRE BLVD STE 450
LOS ANGELES, CA 90010
Los Angeles County (323) 879-9176
GLADYS SUSSETH BARRIENTOS
Marriage & Family Therapist
4221 WILSHIRE BLVD STE 450
LOS ANGELES, CA 90010
Los Angeles County (323) 879-9176

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 Jin Kim's NPI number?

The NPI number for Jin Kim is 1750744520. It was assigned to this individual provider in the NPPES registry on March 30, 2016.

Where is Jin Kim located?

Jin Kim practices at 4221 Wilshire Blvd Ste 450, Los Angeles, CA 90010. The listed phone number is (213) 537-3567.

What is Jin Kim's specialty?

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

Is Jin Kim enrolled in Medicare?

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

Which organization bills Medicare for Jin Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jin Kim reassigns Medicare benefits to Southern California Permanente Medical Group (Los Angeles, 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 Jin 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 Jin Kim was last updated on June 27, 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.