TYLER KIM MFT
NPI 1992542120
Marriage & Family Therapist in Riverside, CA
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
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)
Tyler Kim Mft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Tyler Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Riverside, CA 92508
- Reassigned Medicare billing, California enrollment
- 68 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.
RIVERSIDE, CA 92508
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 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.
Where is Tyler Kim located?
Tyler Kim practices at 19322 Jesse Ln Ste 200, Riverside, CA 92508. The listed phone number is (951) 387-4040.
What is Tyler Kim's specialty?
The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.
Is Tyler Kim enrolled in Medicare?
Yes. Tyler Kim is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Tyler Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tyler Kim reassigns Medicare benefits to Family Talk Therapy Center (Riverside, 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 Tyler 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 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.
# Tyler Kim, MFT · NPI 1992542120
Marriage & Family Therapist provider in Riverside, California. Individual provider, active in the CMS NPPES registry since July 15, 2024.
## Identity
- **NPI:** 1992542120 (Entity type: Individual)
- **Enumerated:** July 15, 2024
- **Primary specialty:** Marriage & Family Therapist · taxonomy 106H00000X
- **State license:** 142325 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 19322 JESSE LN STE 200, Riverside, CA 92508-5072
- **Phone:** (951) 387-4040
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Family Talk Therapy Center (NPI 1174089411, Riverside, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** July 15, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1992542120) · Data from the CMS NPPES public registry.