TYLER KIM MFT
NPI 1992542120
Marriage & Family Therapist in Riverside, CA

Q: What is Tyler Kim's NPI number?

The NPI number for Tyler Kim is 1992542120. It was assigned to this individual provider in the NPPES registry on July 15, 2024.

Q: What is Tyler Kim's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Tyler Kim was last updated on July 15, 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.

Active since July 15, 2024PECOS Enrolled

19322 JESSE LN STE 200, RIVERSIDE, CA 92508(951) 387-4040 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Tyler Kim Mft NPPES

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

TYLER KIM MFT (NPI 1992542120) is an individual marriage & family therapist in Riverside, California, licensed in California (142325) and active in the NPI registry since July 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1992542120

Entity TypeIndividualMale

Primary Taxonomy106H00000X

Provider Legal NameTYLER KIMCredential: MFT

Location Address19322 JESSE LN STE 200Riverside, CA 92508-5072

Mailing Address19322 Jesse Ln Ste 200Riverside, CA 92508-5072 · (951) 387-4040

Phone(951) 387-4040

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateJuly 15, 2024

NPPES CertifiedJuly 14, 2024

✔ NPI 1992542120 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 · 142325

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.

19322 JESSE LN STE 200, Riverside, CA 92508

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tyler Kim Mft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7214423342

PECOS Enrollment IDI20251229001047

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 19

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

SARAH MARIE MOSS LMFT

Marriage & Family Therapist