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

Active since August 22, 2019Opted out of Medicare · through Nov 10, 2026
3208 ROSEMEAD BLVD STE 100, EL MONTE, CA 91731(626) 227-7001 Get Directions Write a Review

NPPES record last updated: September 26, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 26, 2020, Aug 22, 2019 (2 updates tracked since 2019).

About Samuel K Kim Mft Associate NPPES

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

SAMUEL K KIM MFT ASSOCIATE (NPI 1811544935) is an individual marriage & family therapist in El Monte, California, licensed in California (120878) and active in the NPI registry since August 2019. He has opted out of Medicare through November 10, 2026.

NPPES Registry Identity

NPI1811544935
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameSAMUEL K KIMCredential: MFT ASSOCIATE
Location Address3208 ROSEMEAD BLVD STE 100El Monte, CA 91731-2830
Mailing Address3208 Rosemead Blvd Ste 200El Monte, CA 91731-2830 · (626) 227-7001 · Fax (626) 227-7015
Phone(626) 227-7001
Sole ProprietorNo
Enumeration DateAugust 22, 2019
Last NPPES UpdateSeptember 26, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 26, 2020
✔ NPI 1811544935 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 120878
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
3208 ROSEMEAD BLVD STE 100, El Monte, CA 91731
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Samuel K Kim Mft Associate has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 10, 2024 through November 10, 2026.

Opt-Out Effective DateNovember 10, 2024
Opt-Out In Effect ThroughNovember 10, 2026Opt-out affidavits renew automatically every two years unless cancelled

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.

JONATHAN ING
Case Manager/Care Coordinator
3208 ROSEMEAD BLVD STE 100
EL MONTE, CA 91731
Los Angeles County (626) 227-7014
GERARDO BRANA
Student in an Organized Health Care Education/Training Program
3208 ROSEMEAD BLVD STE 100
EL MONTE, CA 91731
Los Angeles County (626) 227-7001
EUNICE GRACE BARTOLOME SEDANO MSW, ASW
Social Worker (Clinical)
3208 ROSEMEAD BLVD STE 100
EL MONTE, CA 91731
Los Angeles County (626) 227-7014
MONICA ELLIOTT
Marriage & Family Therapist
3208 ROSEMEAD BLVD STE 100
EL MONTE, CA 91731
Los Angeles County (626) 227-7001
NATALIE DIANE CHEFFER NP
Nurse Practitioner (Psychiatric/Mental Health)
3208 ROSEMEAD BLVD STE 100
EL MONTE, CA 91731
Los Angeles County (626) 227-7001
ABIGAIL BARRALES PARADA
Case Manager/Care Coordinator
3208 ROSEMEAD BLVD STE 100
EL MONTE, CA 91731
Los Angeles County (626) 227-7001
GABRIELLA M VARGAS
Student in an Organized Health Care Education/Training Program
3208 ROSEMEAD BLVD STE 100
EL MONTE, CA 91731
Los Angeles County (626) 227-7001
CAMEAN MCFATRIDGE
Student in an Organized Health Care Education/Training Program
3208 ROSEMEAD BLVD STE 100
EL MONTE, CA 91731
Los Angeles County (626) 227-7014

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 Samuel Kim's NPI number?

The NPI number for Samuel Kim is 1811544935. It was assigned to this individual provider in the NPPES registry on August 22, 2019.

Where is Samuel Kim located?

Samuel Kim practices at 3208 Rosemead Blvd Ste 100, El Monte, CA 91731. The listed phone number is (626) 227-7001.

What is Samuel Kim's specialty?

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

Is Samuel Kim enrolled in Medicare?

No. Samuel Kim has opted out of Medicare through November 10, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Samuel Kim was last updated on September 26, 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.