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SHANNON CHOI KIM
NPI 1760873236
Marriage & Family Therapist in Orange, CA

Active since February 05, 2015PECOS EnrolledAccepts Medicare Assignment
4000 W METROPOLITAN DR STE 120, ORANGE, CA 92868(714) 972-3700 Get Directions Write a Review

NPPES record last updated: November 9, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 9, 2021, Mar 11, 2021 (2 updates tracked since 2021).

About Shannon Choi Kim NPPES

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

SHANNON CHOI KIM (NPI 1760873236) is an individual marriage & family therapist in Orange, California, licensed in California (103817) and active in the NPI registry since February 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1760873236
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameSHANNON CHOI KIM
Location Address4000 W METROPOLITAN DR STE 120Orange, CA 92868-3504
Mailing Address4000 W Metropolitan Dr # 120Orange, CA 92868-3504 · (714) 972-3700
Phone(714) 972-3700
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateFebruary 5, 2015
Last NPPES UpdateNovember 9, 20212 updates tracked since enumeration
NPPES CertifiedNovember 9, 2021
✔ NPI 1760873236 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 · 103817
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.
4000 W METROPOLITAN DR STE 120, Orange, CA 92868
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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 and accepts Medicare assignment

Shannon Choi Kim 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 ID2466982319
PECOS Enrollment IDI20250207002131
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 20

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

JENALIE MICHELLE TOMPKINS
Rehabilitation Practitioner
4000 W METROPOLITAN DR STE 120
ORANGE, CA 92868
Orange County (714) 972-3700
JAMES HEUMANN
Student in an Organized Health Care Education/Training Program
4000 W METROPOLITAN DR STE 120
ORANGE, CA 92868
Orange County (714) 834-4707
WILLIAM P LIU PHARM.D.
Pharmacist (Geriatric)
4000 W METROPOLITAN DR STE 120
ORANGE, CA 92868
Orange County (714) 972-3726
MS. KAREN SUE HOFFMAN-WINBERRY MFT
Marriage & Family Therapist
4000 W METROPOLITAN DR STE 120
ORANGE, CA 92868
Orange County (714) 972-3700
MR. H T MOHANKUMAR MD
Psychiatry & Neurology (Psychiatry)
4000 W METROPOLITAN DR STE 120
ORANGE, CA 92868
Orange County (661) 444-1567
ANABEL TREVILLA
Social Worker
4000 W METROPOLITAN DR STE 120
ORANGE, CA 92868
Orange County (714) 972-3729
ROBERT DIAZ JR.
Rehabilitation Practitioner
4000 W METROPOLITAN DR STE 120
ORANGE, CA 92868
Orange County (714) 972-3700
DR. ELENI HAILEMARIAM MD
Psychiatry & Neurology (Psychiatry)
4000 W METROPOLITAN DR STE 120
ORANGE, CA 92868
Orange County (714) 972-3700

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 Shannon Kim's NPI number?

The NPI number for Shannon Kim is 1760873236. It was assigned to this individual provider in the NPPES registry on February 5, 2015.

Where is Shannon Kim located?

Shannon Kim practices at 4000 W Metropolitan Dr Ste 120, Orange, CA 92868. The listed phone number is (714) 972-3700.

What is Shannon Kim's specialty?

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

Is Shannon Kim enrolled in Medicare?

Yes. Shannon 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 Shannon Kim was last updated on November 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.