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DR ATHENA KIM LLC
NPI 1912562513
Community/Behavioral Health in Honolulu, HI

Active since May 08, 2019
1029 KAPAHULU AVE STE 406, HONOLULU, HI 96816(808) 753-8355 Get Directions Write a Review

NPPES record last updated: May 8, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr Athena Kim Llc NPPES

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

DR ATHENA KIM LLC (NPI 1912562513) is a healthcare organization registered as a community/behavioral health in Honolulu, Hawaii and active in the NPI registry since May 2019. The organization lists Athena Kim-romero, Clinical Psychologist, as its authorized official.

NPPES Registry Identity

NPI1912562513
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameDR ATHENA KIM LLC
Location Address1029 KAPAHULU AVE STE 406Honolulu, HI 96816-1332
Mailing AddressPo Box 22393Honolulu, HI 96823-2393 · (808) 753-8355
Phone(808) 753-8355
Organization SubpartNo
Authorized OfficialAthena Kim-romeroClinical Psychologist · (808) 753-8355
Enumeration DateMay 8, 2019
✔ NPI 1912562513 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
1029 KAPAHULU AVE STE 406, Honolulu, HI 96816
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Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr Athena Kim Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Dr Athena Kim LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Athena Kim-Romero, PSYD
Clinical Psychologist
NPI 1780157891
1029 KAPAHULU AVE STE 406
Honolulu, HI 96816
(808) 753-8355
✔ PECOSSame address

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 Dr Athena Kim LLC's NPI number?

The NPI number for Dr Athena Kim LLC is 1912562513. It was assigned to this organization in the NPPES registry on May 8, 2019.

Where is Dr Athena Kim LLC located?

Dr Athena Kim LLC is located at 1029 Kapahulu Ave Ste 406, Honolulu, HI 96816. The listed phone number is (808) 753-8355.

What is Dr Athena Kim LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Is Dr Athena Kim LLC enrolled in Medicare?

Yes. Dr Athena Kim LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dr Athena Kim LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Dr Athena Kim LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Dr Athena Kim LLC was last updated on May 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.