TESS YONG KIM LPCC
NPI 1972049104
Counselor - Mental Health in Albuquerque, NM
About Tess Yong Kim Lpcc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TESS YONG KIM LPCC (NPI 1972049104) is an individual mental health provider in Albuquerque, New Mexico, licensed in New Mexico (CCMH0217631) and active in the NPI registry since January 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Albuquerque, and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Tess Yong Kim Lpcc 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.
Medicare Billing Reassignments
2Medicare enrollment records show Tess Kim reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Albuquerque, NM 87102
- Reassigned Medicare billing, New Mexico enrollment
Albuquerque, NM 87104
- Reassigned Medicare billing, New Mexico enrollment
- 3 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.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ALBUQUERQUE, NM 87102
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 Tess Kim's NPI number?
The NPI number for Tess Kim is 1972049104. It was assigned to this individual provider in the NPPES registry on January 11, 2017.
Where is Tess Kim located?
Tess Kim practices at 1102 Mountain Rd NW Ste 202, Albuquerque, NM 87102. The listed phone number is (808) 772-3144.
What is Tess Kim's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Tess Kim enrolled in Medicare?
Yes. Tess 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.
Which organizations bill Medicare for Tess Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tess Kim reassigns Medicare benefits to 2 organizations: Tess Kim Therapeutics Mental Health Services (Albuquerque, NM) and Shavano Counseling Services (Albuquerque, NM). Each 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 Tess Kim'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 Tess Kim was last updated on February 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Tess Yong Kim, LPCC · NPI 1972049104
Mental Health provider in Albuquerque, New Mexico. Individual provider, active in the CMS NPPES registry since January 11, 2017.
## Identity
- **NPI:** 1972049104 (Entity type: Individual)
- **Enumerated:** January 11, 2017
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** CCMH0217631 (New Mexico)
- **Sole proprietor:** No
## Practice location
- **Address:** 1102 MOUNTAIN RD NW STE 202, Albuquerque, NM 87102-1855
- **Phone:** (808) 772-3144
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Tess Kim Therapeutics Mental Health Services (NPI 1447124243, Albuquerque, NM); Shavano Counseling Services (NPI 1710323829, Albuquerque, NM) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** February 21, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1972049104) · Data from the CMS NPPES public registry.