SUSAN EUNJI KIM LCSW
NPI 1750857751
Counselor - Mental Health in Riverside, CA
About Susan Eunji Kim Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUSAN EUNJI KIM LCSW (NPI 1750857751) is an individual mental health provider in Riverside, California, licensed in California (114780) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Susan Eunji Kim Lcsw 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.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Susan Kim's NPI number?
The NPI number for Susan Kim is 1750857751. It was assigned to this individual provider in the NPPES registry on October 17, 2018.
Where is Susan Kim located?
Susan Kim practices at 11870 Pierce St Ste 200, Riverside, CA 92505. The listed phone number is (951) 248-4000.
What is Susan Kim's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Susan Kim enrolled in Medicare?
Yes. Susan 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.
When was this NPI record last updated?
The NPPES record for Susan Kim was last updated on April 18, 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.
# Susan Eunji Kim, LCSW · NPI 1750857751
Mental Health provider in Riverside, California. Individual provider, active in the CMS NPPES registry since October 17, 2018.
## Identity
- **NPI:** 1750857751 (Entity type: Individual)
- **Enumerated:** October 17, 2018
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 114780 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 11870 PIERCE ST STE 200, Riverside, CA 92505-5186
- **Phone:** (951) 248-4000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** April 18, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1750857751) · Data from the CMS NPPES public registry.