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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MRS. MI AE KIM LMFT
NPI 1942907969
Marriage & Family Therapist in Pasadena, CA

Active since February 09, 2023Opted out of Medicare · through Jan 1, 2028
595 E COLORADO BLVD STE 412, PASADENA, CA 91101(707) 733-6749 Get Directions Write a Review

NPPES record last updated: October 11, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Oct 11, 2026, Nov 19, 2025, Feb 9, 2023 (3 updates tracked since 2023).

About Mrs. Mi Ae Kim Lmft NPPES

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

MRS. MI AE KIM LMFT (NPI 1942907969) is an individual marriage & family therapist in Pasadena, California, licensed in California (135709) and active in the NPI registry since February 2023. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1942907969
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMRS. MI AE KIMCredential: LMFT
Location Address595 E COLORADO BLVD STE 412Pasadena, CA 91101-2018
Mailing Address595 E Colorado Blvd Ste 412Pasadena, CA 91101-2018 · (707) 733-6749
Phone(707) 733-6749
Sole ProprietorNo
Enumeration DateFebruary 9, 2023
Last NPPES UpdateOctober 11, 20263 updates tracked since enumeration
NPPES CertifiedOctober 11, 2026
✔ NPI 1942907969 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 · 135709
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.
595 E COLORADO BLVD STE 412, Pasadena, CA 91101
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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

Mrs. Mi Ae Kim Lmft 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 January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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 Mi Ae Kim's NPI number?

The NPI number for Mi Ae Kim is 1942907969. It was assigned to this individual provider in the NPPES registry on February 9, 2023.

Where is Mi Ae Kim located?

Mi Ae Kim practices at 595 E Colorado Blvd Ste 412, Pasadena, CA 91101. The listed phone number is (707) 733-6749.

What is Mi Ae Kim's specialty?

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

Is Mi Ae Kim enrolled in Medicare?

No. Mi Ae Kim has opted out of Medicare through January 1, 2028. 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 Mi Ae Kim was last updated on October 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.