SAMUEL K KIM MFT ASSOCIATE
NPI 1811544935
Marriage & Family Therapist in El Monte, CA

NPI Status: Active since August 22, 2019

Contact Information

3208 ROSEMEAD BLVD STE 100
EL MONTE, CA
ZIP 91731
Phone: (626) 227-7001

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  • Individual
  • Male
  • Marriage & Family Therapist
  • Opted-Out Medicare

About SAMUEL KIM

This page provides the complete NPI Profile along with additional information for Samuel Kim, a provider established in El Monte, California with a medical specialization in Marriage & Family Therapist. The healthcare provider is registered in the NPI registry with number 1811544935 assigned on August 2019. The practitioner's primary taxonomy code is 106H00000X with license number 120878 (CA). The provider is registered as an individual and his NPI record was last updated 6 years ago.

NPI
1811544935
Provider Name
SAMUEL K KIM MFT ASSOCIATE
Gender
Male
Entity Type
Individual
Location Address
3208 ROSEMEAD BLVD STE 100 EL MONTE, CA 91731
Location Phone
(626) 227-7001
Mailing Address
3208 ROSEMEAD BLVD STE 200 EL MONTE, CA 91731
Mailing Phone
(626) 227-7001
Mailing Fax
Is Sole Proprietor?
No
Enumeration Date
08-22-2019
Last Update Date
09-26-2020
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A marriage and family therapist like Samuel Kim help patients manage problems with their family and other relationships. Marriage and family therapists encourage clients to discuss their emotions and experiences and, develop strategies and skills to change behavior and cope with difficult situations. Many therapists apply cognitive behavioral therapy to help patients understand harmful thoughts, feelings, and also teach patients how to replace them with positive, life-enhancing ones.

The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Samuel Kim opted out of Medicare effective on 11-10-2024 until 11-10-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Marriage & Family Therapist

Taxonomy Code
106H00000X
Type
Behavioral Health & Social Service Providers
License No.
120878
License State
CA
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1390200000XStudent, Health Care

Student in an Organized Health Care Education/Training Program

 

Medicare Participation & PECOS Enrollment Status

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Opted-Out of Medicare? Yes

  • Opt-Out Effective Date: 11-10-2024

  • Opt-Out End Date: 11-10-2026

  • Eligible to Order and Refer? No

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1811544935, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
8
Unchanged
Pos 3
1
Doubled → 2
Pos 4
1
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
4
Unchanged
Pos 7
4
Doubled → 8
Pos 8
9
Unchanged
Pos 9
3
Doubled → 6
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 5 → 10 → 1 4 → 8 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 8 + 2 + 1 + 1 + 0 + 4 + 8 + 9 + 6 + 24 = 65

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1811544935.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Student in an Organized Health Care Education/Training Program
3208 ROSEMEAD BLVD STE 100
EL MONTE, CA 91731
Marriage & Family Therapist
3208 ROSEMEAD BLVD STE 100, ENKI YOUTH AND FAMILY SERVICES
EL MONTE, CA 91731
Marriage & Family Therapist
3208 ROSEMEAD BLVD STE 100
EL MONTE, CA 91731
Psychologist
3208 ROSEMEAD BLVD STE 100
EL MONTE, CA 91731
Case Manager/Care Coordinator
3208 ROSEMEAD BLVD STE 100
EL MONTE, CA 91731
Marriage & Family Therapist
3208 ROSEMEAD BLVD STE 100
EL MONTE, CA 91731
Marriage & Family Therapist
3208 ROSEMEAD BLVD STE 100
EL MONTE, CA 91731
Social Worker (Clinical)
3208 ROSEMEAD BLVD STE 100
EL MONTE, CA 91731
Counselor (Professional)
3208 ROSEMEAD BLVD STE 100
EL MONTE, CA 91731
Student in an Organized Health Care Education/Training Program
3208 ROSEMEAD BLVD STE 100
EL MONTE, CA 91731
Counselor (Mental Health)
3208 ROSEMEAD BLVD STE 100
EL MONTE, CA 91731
Counselor (Mental Health)
3208 ROSEMEAD BLVD STE 100
EL MONTE, CA 91731
Case Manager/Care Coordinator
3208 ROSEMEAD BLVD STE 100
EL MONTE, CA 91731
Social Worker (Clinical)
3208 ROSEMEAD BLVD STE 100
EL MONTE, CA 91731
Marriage & Family Therapist
3208 ROSEMEAD BLVD STE 100
EL MONTE, CA 91731
Marriage & Family Therapist
3208 ROSEMEAD BLVD STE 100
EL MONTE, CA 91731
Marriage & Family Therapist
3208 ROSEMEAD BLVD STE 100
EL MONTE, CA 91731
Rehabilitation Counselor
3208 ROSEMEAD BLVD STE 100
EL MONTE, CA 91731
Student in an Organized Health Care Education/Training Program
3208 ROSEMEAD BLVD STE 100
EL MONTE, CA 91731
Marriage & Family Therapist
3208 ROSEMEAD BLVD STE 100
EL MONTE, CA 91731

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1811544935, enumerated as an "individual" on August 22, 2019.

The provider is located at 3208 ROSEMEAD BLVD STE 100 EL MONTE, CA 91731 and the phone number is (626) 227-7001.

Marriage & Family Therapist with taxonomy code 106H00000X.