BYUNGIL KIM PH.D., LPCC
NPI 1851144588
Counselor - Mental Health in Pomona, CA
About Byungil Kim Ph.d., Lpcc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BYUNGIL KIM PH.D., LPCC (NPI 1851144588) is an individual mental health provider in Pomona, California, licensed in California (LPCC15656) and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Byungil Kim Ph.d., Lpcc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Byungil Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Jose, CA 95113
- Reassigned Medicare billing, California enrollment
- 3,139 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Byungil Kim's NPI number?
The NPI number for Byungil Kim is 1851144588. It was assigned to this individual provider in the NPPES registry on April 11, 2024.
Where is Byungil Kim located?
Byungil Kim practices at 16 Wilderness Pl, Pomona, CA 91766. The listed phone number is (585) 402-1169.
What is Byungil Kim's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Byungil Kim enrolled in Medicare?
Yes. Byungil Kim is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Byungil Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Byungil Kim reassigns Medicare benefits to Grow Healthcare Group PC (San Jose, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Byungil Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Byungil Kim was last updated on April 11, 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.
# Byungil Kim, PH.D., LPCC · NPI 1851144588
Mental Health provider in Pomona, California. Individual provider, active in the CMS NPPES registry since April 11, 2024.
## Identity
- **NPI:** 1851144588 (Entity type: Individual)
- **Enumerated:** April 11, 2024
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** LPCC15656 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 16 WILDERNESS PL, Pomona, CA 91766-6709
- **Phone:** (585) 402-1169
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Grow Healthcare Group PC (NPI 1154994846, San Jose, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 11, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1851144588) · Data from the CMS NPPES public registry.