YUN KIM
NPI 1992291173
Counselor - Mental Health in San Jose, CA
About Yun Kim NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
YUN KIM (NPI 1992291173) is an individual mental health provider in San Jose, California and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Yun Kim is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Yun Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Santa Clara, CA 95051
- Reassigned Medicare billing, California enrollment
- 20,078 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN JOSE, CA 95119
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 Yun Kim's NPI number?
The NPI number for Yun Kim is 1992291173. It was assigned to this individual provider in the NPPES registry on July 10, 2018.
Where is Yun Kim located?
Yun Kim practices at 6203 San Ignacio Ave Ste 150, San Jose, CA 95119. The listed phone number is (408) 284-9079.
What is Yun Kim's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Yun Kim enrolled in Medicare?
Yes. Yun Kim is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Yun Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Yun Kim reassigns Medicare benefits to Permanente Medical Group Inc (Santa Clara, 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 Yun 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 Yun Kim was last updated on July 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Yun Kim · NPI 1992291173
Mental Health provider in San Jose, California. Individual provider, active in the CMS NPPES registry since July 10, 2018.
## Identity
- **NPI:** 1992291173 (Entity type: Individual)
- **Enumerated:** July 10, 2018
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Sole proprietor:** No
## Practice location
- **Address:** 6203 SAN IGNACIO AVE STE 150, San Jose, CA 95119-1371
- **Phone:** (408) 284-9079
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Permanente Medical Group Inc (NPI 1073606299, Santa Clara, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 10, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1992291173) · Data from the CMS NPPES public registry.