TESS YONG KIM LPCC
NPI 1972049104
Counselor - Mental Health in Albuquerque, NM

Active since January 11, 2017PECOS EnrolledAccepts Medicare Assignment
1102 MOUNTAIN RD NW STE 202, ALBUQUERQUE, NM 87102(808) 772-3144 Get Directions Write a Review

NPPES record last updated: February 21, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 31, 2019, Jan 11, 2017 (2 updates tracked since 2017).

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

NPI1972049104
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTESS YONG KIMCredential: LPCC
Location Address1102 MOUNTAIN RD NW STE 202Albuquerque, NM 87102-1855
Mailing Address709 Ortiz Dr NeAlbuquerque, NM 87108-1444 · (808) 772-3144
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJanuary 11, 2017
Last NPPES UpdateFebruary 21, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 21, 2024
NPI 1972049104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in NM · CCMH0217631
1102 MOUNTAIN RD NW STE 202, Albuquerque, NM 87102

Secondary Practice Location 1

Location 1500 Marquette Ave NWAlbuquerque, NM 87102-5340 · Phone (323) 205-7088 · Fax (833) 419-0181

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

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.

PECOS PAC ID4880038678
PECOS Enrollment IDI20240220003943
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 3

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

Social Worker (Clinical)
1102 MOUNTAIN RD NW STE 202
ALBUQUERQUE, NM 87102
Counselor (Professional)
1102 MOUNTAIN RD NW STE 202
ALBUQUERQUE, NM 87102
Counselor (Mental Health)
1102 MOUNTAIN RD NW STE 202
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.

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.