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TAERYENG GIM CDPT
NPI 1992299069
Counselor - Mental Health in Monroe, WA

Active since June 21, 2018PECOS EnrolledAccepts Medicare Assignment
14090 FRYLNDS BLVD SE STE 347, MONROE, WA 98272(360) 805-3122 Get Directions Write a Review

NPPES record last updated: July 11, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 11, 2023, Jun 21, 2018 (2 updates tracked since 2018).

About Taeryeng Gim Cdpt NPPES

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

TAERYENG GIM CDPT (NPI 1992299069) is an individual mental health provider in Monroe, Washington, licensed in Washington (LH61428482) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Everett, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1992299069
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTAERYENG GIMCredential: CDPT
Location Address14090 FRYLNDS BLVD SE STE 347Monroe, WA 98272-2760
Mailing AddressPo Box 34703Seattle, WA 98124-1703
Phone(360) 805-3122
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJune 21, 2018
Last NPPES UpdateJuly 11, 20232 updates tracked since enumeration
NPPES CertifiedJuly 11, 2023
✔ NPI 1992299069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in WA · LH61428482
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License CP61044121 (WA)
14090 FRYLNDS BLVD SE STE 347, Monroe, WA 98272
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Other Names 1

Professional Name (2)Della Kim Cdpt

Secondary Practice Location 1

Location 19930 Evergreen Way Ste Z150Everett, WA 98204-3889 · Phone (425) 347-5152

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

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

Taeryeng Gim Cdpt 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 ID4183165475
PECOS Enrollment IDI20240926002941
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.

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 Taeryeng Gim's NPI number?

The NPI number for Taeryeng Gim is 1992299069. It was assigned to this individual provider in the NPPES registry on June 21, 2018. The provider is also known as Della Kim Cdpt.

Where is Taeryeng Gim located?

Taeryeng Gim practices at 14090 Frylnds Blvd SE Ste 347, Monroe, WA 98272. The listed phone number is (360) 805-3122.

What is Taeryeng Gim's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Taeryeng Gim enrolled in Medicare?

Yes. Taeryeng Gim 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.

What insurance does Taeryeng Gim accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Taeryeng Gim as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Taeryeng Gim was last updated on July 11, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.