MRS. KIM CHI NANG DEO LCSW
NPI 1962806430
Counselor - Mental Health in Irvine, CA

Active since October 13, 2014PECOS Enrolled
17201 MIRASOL, IRVINE, CA 92620(714) 908-6967 Get Directions Write a Review

NPPES record last updated: December 30, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Counselor
  • Mental Health
  • PECOS Enrolled

About KIM CHI DEO

This page provides the complete NPI Profile along with additional information for Kim Chi Deo, a provider established in Irvine, California with a medical specialization in Counselor, focusing in mental health . The healthcare provider is registered in the NPI registry with number 1962806430 assigned on October 2014. The practitioner's primary taxonomy code is 101YM0800X with license number ASW62609 (CA). The provider is registered as an individual and her NPI record was last updated 6 years ago.

NPI
1962806430 Verify this NPI
Provider Name
MRS. KIM CHI NANG DEO LCSW
Gender
Female
Entity Type
Individual
Location Address
17201 MIRASOL IRVINE, CA 92620
Location Phone
(714) 908-6967
Mailing Address
17201 MIRASOL IRVINE, CA 92620
Mailing Phone
(714) 908-6967
Is Sole Proprietor?
No
Enumeration Date
10-13-2014
Last Update Date
12-30-2020
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A mental health counselor like Kim Chi Deo provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Mental Health

Taxonomy Code
101YM0800X
Type
Behavioral Health & Social Service Providers
License No.
ASW62609
License State
CA

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
11041C0700XBehavioral Health & Social Service Providers

Social Worker
Clinical

LCSW89321 (CA)
21041C0700XBehavioral Health & Social Service Providers

Social Worker
Clinical

 

Medicare Participation & PECOS Enrollment Status

Kim Chi Deo is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962806430, enumerated as an "individual" on October 13, 2014.

The provider is located at 17201 MIRASOL IRVINE, CA 92620 and the phone number is (714) 908-6967.

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.