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JOHN KIM LPC
NPI 1750995999
Counselor - Professional in Deer Park, IL

Active since September 04, 2020PECOS EnrolledAccepts Medicare Assignment
21925 W FIELD PKWY STE 215, DEER PARK, IL 60010(847) 438-4222(847) 438-0844 Get Directions Write a Review

NPPES record last updated: September 4, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About John Kim Lpc NPPES

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

JOHN KIM LPC (NPI 1750995999) is an individual professional provider in Deer Park, Illinois, licensed in Illinois (178.016159) and active in the NPI registry since September 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1750995999
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameJOHN KIMCredential: LPC
Location Address21925 W FIELD PKWY STE 215Deer Park, IL 60010-7278
Mailing Address355 Wood Creek Rd Apt 110Wheeling, IL 60090-6722 · (224) 766-6308
Phone(847) 438-4222
Fax(847) 438-0844
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateSeptember 4, 2020
NPPES CertifiedSeptember 4, 2020
✔ NPI 1750995999 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in IL · 178.016159
21925 W FIELD PKWY STE 215, Deer Park, IL 60010
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

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

John Kim Lpc 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 ID8628516978
PECOS Enrollment IDI20240816003400
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 3

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

ARIELLE MIREE LPC
Counselor (Professional)
21925 W FIELD PKWY STE 215
DEER PARK, IL 60010
Cook County (847) 438-4222
VALERIE DOBROW
Social Worker
21925 W FIELD PKWY STE 215
DEER PARK, IL 60010
Cook County (815) 443-6085
ELIZABETH LATTOF BRUEMMER LPC
Counselor (Professional)
21925 W FIELD PKWY STE 215
DEER PARK, IL 60010
Cook County (847) 438-4222

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 John Kim's NPI number?

The NPI number for John Kim is 1750995999. It was assigned to this individual provider in the NPPES registry on September 4, 2020.

Where is John Kim located?

John Kim practices at 21925 W Field Pkwy Ste 215, Deer Park, IL 60010. The listed phone number is (847) 438-4222.

What is John Kim's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is John Kim enrolled in Medicare?

Yes. John 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.

What insurance does John Kim accept?

Health plans from UnitedHealthcare list John 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 John Kim was last updated on September 4, 2020. 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.