MYUNG JIN KIM (NPI# 1427371459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427371459 |
| Entity Type | Individual |
| Full Name | MYUNG JIN KIM |
| Practice Address |
9378 Olive Blvd Ste 317 Saint Louis MO 63132-3224 |
| Practice Telephone | 3149949344 |
| Practice Fax Number | 3149943007 |
| Mailing Telephone | 3149949344 |
| Mailing Fax Number | 3149943007 |
| Enumeration Date | 2010-03-04 |
| Last Update Date | 2013-01-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
2009036114 | MO | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | LPC, STATE OF MISSOURI | 2009036114 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619015849 | Myung Jin Kim | Internal Medicine | 307 East Crockett, Cleveland, TX 77327 | 2007-02-01 |
| Street Address |
9378 OLIVE BLVD STE 317 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63132-3224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699977116 | Jennifer Baker | Counselor | 9378 Olive Blvd Ste 317, Saint Louis, MO 63132-3224 | 2007-06-05 |
| 1528698917 | Daniel David Pomerleau | Marriage & Family Therapist | 9378 Olive Blvd Ste 317, Saint Louis, MO 63132-3224 | 2020-01-24 |
| 1396387551 | Latanya Davis | Counselor | 9378 Olive Blvd Ste 317, Saint Louis, MO 63132-3224 | 2019-10-09 |
| 1013484443 | Stacie Henson | Counselor | 9378 Olive Blvd Ste 317, Saint Louis, MO 63132-3224 | 2018-10-24 |
| 1932619376 | Gerald Waggoner | Counselor | 9378 Olive Blvd Ste 317, Saint Louis, MO 63132-3224 | 2017-10-11 |
| 1477080539 | Leslie D Lee | Counselor | 9378 Olive Blvd Ste 317, Saint Louis, MO 63132-3224 | 2017-05-18 |
| 1609290162 | Teresa Louise Weeke I | Counselor | 9378 Olive Blvd Ste 317, Saint Louis, MO 63132-3224 | 2014-02-04 |
| 1134561095 | Kimberly Shannon Jones | Counselor | 9378 Olive Blvd Ste 317, Saint Louis, MO 63132-3224 | 2013-07-20 |
| 1609184878 | Amanda Kay Stutz | Counselor | 9378 Olive Blvd Ste 317, Saint Louis, MO 63132-3224 | 2010-09-21 |
| 1215259106 | Agape Christian Counseling Services | Community/Behavioral Health | 9378 Olive Blvd Ste 317, Saint Louis, MO 63132-3224 | 2010-02-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811505712 | Takesha Sharice Gates | Home Health | 1614 Page Industrial Blvd, Apt A, Overland, MO 63132 | 2020-07-16 |
| 1962042440 | Fourroux Prosthetics, Inc | Prosthetic/Orthotic Supplier | 9665 Page Avenue, Overland, MO 63132 | 2020-01-13 |
| 1538715354 | Katharine M Rug | Dietitian, Registered | 1177 North Warson Rd, St. Louis, MO 63132 | 2019-08-16 |
| 1194295964 | Rivka Goldenhersh, D.m.d., LLC | Dentist | 620a N Mcknight Rd Ste 2a, Saint Louis, MO 63132 | 2018-12-04 |
| 1265902829 | Danica Dupree | Behavior Technician | 1322 Baur Blvd, Olivette, MO 63132 | 2018-11-27 |
| 1598277766 | Carol Lynne Oliver | Counselor | 10176 Corporate Square Dr Ste Office13, Saint Louis, MO 63132 | 2017-10-27 |
| 1972053783 | Rebecca Newel | Counselor | 9378 Olive Blvd Ste 312, Olivette, MO 63132 | 2016-10-05 |
| 1942654074 | Felicia Harris | Durable Medical Equipment & Medical Supplies | 10096 Page Blvd, St Loius, MO 63132 | 2016-04-14 |
| 1518328087 | Joseph Franklin Doney | Counselor | 10101 Woodfield Lane St., Suite 100, St. Louis, MO 63132 | 2016-03-11 |
| 1528428141 | Visiting Personal Care Attendants | Nursing Care | 9270 Olive Blvd Ste A, Olivette, MO 63132 | 2016-02-24 |
| Find all providers in zip 63132 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841899374 | Christopher Seigel | Counselor | 5317 Mild Dr, Saint Louis, MO 63129-3109 | 2020-10-26 |
| 1467067504 | Anne Margaret Perkins | Counselor | 9733 Saint Charles Rock Rd, Saint Louis, MO 63114-2625 | 2020-09-15 |
| 1730792722 | Aryn Bostic | Counselor | 7584 Olive Blvd Ste 203, Saint Louis, MO 63130-1600 | 2020-08-28 |
| 1417568932 | Child and Family Empowerment Center | Counselor | 800 N Tucker Blvd Fl 1, Saint Louis, MO 63101-1008 | 2020-08-10 |
| 1720603830 | Kelly Marie Buckley | Counselor | 5939 Hilgard Pl, Saint Louis, MO 63109-3445 | 2020-06-15 |
| 1407479207 | Lauren Elizabeth Summers | Counselor | 6261 Reber Pl, Saint Louis, MO 63139-2617 | 2020-05-27 |
| 1306469960 | Walter Robert Scull | Counselor | 1300 Kirkham Ave, Saint Louis, MO 63122-3127 | 2020-05-18 |
| 1982226759 | David Mcgraw | Counselor | 28 Reasor Dr, Saint Louis, MO 63135-1125 | 2020-05-14 |
| 1992326565 | Chantrell M Carter | Counselor | 5027 Mardel Ave, Saint Louis, MO 63109-1731 | 2020-05-05 |
| 1508486333 | Evelyn Aviva Witten | Counselor | 130 S Bemiston Ave Ste 604, Saint Louis, MO 63105-1913 | 2020-04-22 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63132 |
Please comment or provide details below to improve the information on MYUNG JIN KIM.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.