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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

MINA KIM
NPI 1962768986
Counselor in Anaheim, CA

Active since April 03, 2012PECOS Enrolled
451 W LINCOLN AVE STE 100, ANAHEIM, CA 92805(714) 503-6550 Get Directions Write a Review

NPPES record last updated: July 21, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mina Kim NPPES

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

MINA KIM (NPI 1962768986) is an individual counselor in Anaheim, California and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1962768986
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameMINA KIM
Location Address451 W LINCOLN AVE STE 100Anaheim, CA 92805-2912
Mailing Address451 W Lincoln Ave Ste 100Anaheim, CA 92805-2912 · (714) 503-6550
Phone(714) 503-6550
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateApril 3, 2012
Last NPPES UpdateJuly 21, 2026
NPPES CertifiedJuly 21, 2026
✔ NPI 1962768986 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 92575 (CA)
451 W LINCOLN AVE STE 100, Anaheim, CA 92805
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Other Names 1

Other Name (5)Mina Pak

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mina Kim is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3971971409
PECOS Enrollment IDI20221115000704
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KCS, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
451 W LINCOLN AVE STE 100
ANAHEIM, CA 92805
Orange County (714) 503-6550
DR. JENNIFER P LARSON MD
Family Medicine
451 W LINCOLN AVE STE 100
ANAHEIM, CA 92805
Orange County (714) 503-6550
DR. QUOC TRAN PHAM DNP
Nurse Practitioner (Family)
451 W LINCOLN AVE STE 100
ANAHEIM, CA 92805
Orange County (714) 527-6561
KCS, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
451 W LINCOLN AVE STE 100
ANAHEIM, CA 92805
Orange County (714) 503-6550
MS. ANGELA MARY ARNOLD LMFT- CADCII,
Marriage & Family Therapist
451 W LINCOLN AVE STE 100
ANAHEIM, CA 92805
Orange County (714) 503-6550
KCS, INC.
Community/Behavioral Health
451 W LINCOLN AVE STE 100
ANAHEIM, CA 92805
Orange County (704) 503-6550
ANDY WING HONG LO FNP-C
Nurse Practitioner (Family)
451 W LINCOLN AVE STE 100
ANAHEIM, CA 92805
Orange County (415) 806-3488
CECILIA HILDA HUANG MD
Family Medicine
451 W LINCOLN AVE STE 100
ANAHEIM, CA 92805
Orange County (714) 503-6550

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 Mina Kim's NPI number?

The NPI number for Mina Kim is 1962768986. It was assigned to this individual provider in the NPPES registry on April 3, 2012. The provider is also known as Mina Pak.

Where is Mina Kim located?

Mina Kim practices at 451 W Lincoln Ave Ste 100, Anaheim, CA 92805. The listed phone number is (714) 503-6550.

What is Mina Kim's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Mina Kim enrolled in Medicare?

Yes. Mina Kim is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Mina Kim was last updated on July 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.