MRS. KIM CHI NANG DEO LCSW
NPI 1962806430
Counselor - Mental Health in Irvine, CA
About Mrs. Kim Chi Nang Deo Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. KIM CHI NANG DEO LCSW (NPI 1962806430) is an individual mental health provider in Irvine, California, licensed in California (ASW62609) and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Kim Chi Nang Deo Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kim Chi Deo 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 Kim Chi Deo's NPI number?
The NPI number for Kim Chi Deo is 1962806430. It was assigned to this individual provider in the NPPES registry on October 13, 2014.
Where is Kim Chi Deo located?
Kim Chi Deo practices at 17201 Mirasol, Irvine, CA 92620. The listed phone number is (714) 908-6967.
What is Kim Chi Deo's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Kim Chi Deo enrolled in Medicare?
Yes. Kim Chi Deo is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kim Chi Deo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kim Chi Deo 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 Kim Chi Deo'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 Kim Chi Deo was last updated on December 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Mrs. Kim Chi Nang Deo, LCSW · NPI 1962806430
Mental Health provider in Irvine, California. Individual provider, active in the CMS NPPES registry since October 13, 2014.
## Identity
- **NPI:** 1962806430 (Entity type: Individual)
- **Enumerated:** October 13, 2014
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** ASW62609 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 17201 MIRASOL, Irvine, CA 92620-0329
- **Phone:** (714) 908-6967
## 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:** December 30, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1962806430) · Data from the CMS NPPES public registry.