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JESSICA MIFA KIM LMFT
NPI 1982156626
Marriage & Family Therapist in Los Angeles, CA

Active since October 28, 2016Opted out of Medicare · through Jan 1, 2028
4707 GAMBIER ST, LOS ANGELES, CA 90032(310) 800-0881 Get Directions Write a Review

NPPES record last updated: March 22, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 22, 2021, Oct 28, 2016 (2 updates tracked since 2016).

About Jessica Mifa Kim Lmft NPPES

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

JESSICA MIFA KIM LMFT (NPI 1982156626) is an individual marriage & family therapist in Los Angeles, California, licensed in California (118456) and active in the NPI registry since October 2016. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1982156626
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameJESSICA MIFA KIMCredential: LMFT
Location Address4707 GAMBIER STLos Angeles, CA 90032-2017
Mailing Address4707 Gambier StLos Angeles, CA 90032-2017 · (310) 800-0881
Phone(310) 800-0881
Sole ProprietorYes
Enumeration DateOctober 28, 2016
Last NPPES UpdateMarch 22, 20212 updates tracked since enumeration
NPPES CertifiedMarch 22, 2021
✔ NPI 1982156626 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 118456
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
4707 GAMBIER ST, Los Angeles, CA 90032
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Other Names 1

Professional Name (2)Jessica Kim Lmft

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Jessica Mifa Kim Lmft has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

DAVID QUIROZ MFTI
Marriage & Family Therapist
4707 GAMBIER ST
LOS ANGELES, CA 90032
Los Angeles County (858) 731-6654

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 Jessica Kim's NPI number?

The NPI number for Jessica Kim is 1982156626. It was assigned to this individual provider in the NPPES registry on October 28, 2016. The provider is also known as Jessica Kim Lmft.

Where is Jessica Kim located?

Jessica Kim practices at 4707 Gambier St, Los Angeles, CA 90032. The listed phone number is (310) 800-0881.

What is Jessica Kim's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Jessica Kim enrolled in Medicare?

No. Jessica Kim has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Jessica Kim was last updated on March 22, 2021. 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.