JENNIFER KIM (NPI# 1770960999) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770960999 |
| Entity Type | Individual |
| Full Name | JENNIFER KIM |
| Credential | LMFT |
| Practice Address |
19712 Macarthur Blvd Ste 110 Irvine CA 92612-2407 |
| Mailing Address |
Po Box 10302 Fullerton CA 92838-6302 |
| Practice Telephone | 7147455584 |
| Mailing Telephone | 7147455584 |
| Enumeration Date | 2015-04-27 |
| Last Update Date | 2020-06-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 105051 | CA | Behavioral Health & Social Service Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9808 Venice Blvd, Culver City, CA 902322732 | 3109453350 | 3109453356 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659837672 | Jennifer Kim | Physician Assistant | 18 Candy Ln, Syosset, NY 11791-4908 | 2019-02-14 |
| 1013402692 | Jennifer Park Kim | Dentist | 1671 Ih 35 E Ste 300, New Braunfels, TX 78130-6823 | 2018-06-26 |
| 1245756527 | Jennifer Kim | Behavior Technician | 7085 Tierra Roja St, El Paso, TX 79912-8492 | 2017-08-17 |
| 1205364650 | Jennifer Kim | Marriage & Family Therapist | 294 Harrington Ave Ste 6, Closter, NJ 07624-1912 | 2017-05-30 |
| 1790217115 | Jennifer Eunji Kim | Dentist | 1170 Lockhaven Way, San Jose, CA 95129-4031 | 2017-04-03 |
| 1588111645 | Jennifer Kim | Counselor | 323 N Serrano Ave Apt A, Los Angeles, CA 90004-2789 | 2016-09-07 |
| 1447614755 | Jennifer Hyun Kim | Pharmacist | 14433 Culver Dr, Irvine, CA 92604-0305 | 2016-04-12 |
| 1487035523 | Jennifer Kim | Student in an Organized Health Care Education/Training Program | 19925 22nd Ave, Whitestone, NY 11357-4121 | 2015-06-15 |
| 1255734778 | Jennifer Kim | Family Medicine | 4 E Clark Bass Blvd Ste 300, Mcalester, OK 74501-4269 | 2014-09-29 |
| 1174954879 | Jennifer Kim | Social Worker | 200 I St Se, Washington, DC 20003-3317 | 2013-12-05 |
| Street Address |
19712 MACARTHUR BLVD STE 110 |
| City | IRVINE |
| State | CA |
| Zip Code | 92612-2407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538448345 | Connie Joo Won | Psychologist | 19712 Macarthur Blvd Ste 110, Irvine, CA 92612-2407 | 2011-08-10 |
| 1205433083 | Trauma Therapy Ca Psychology Corporation | Clinic/Center | 19712 Macarthur Blvd Ste 110, Irvine, CA 92612-2407 | 2020-10-05 |
| 1669083150 | Sara Cameron | Marriage & Family Therapist | 19712 Macarthur Blvd Ste 110, Irvine, CA 92612-2407 | 2020-08-10 |
| 1801290945 | Robyn Tamanaha | Marriage & Family Therapist | 19712 Macarthur Blvd Ste 110, Irvine, CA 92612-2407 | 2014-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629615984 | Sara Afsharpour | Marriage & Family Therapist | 2001 Business Center Dr, # 150, Irvine, CA 92612 | 2019-12-05 |
| 1952959207 | Dorothy Dawn Malsack | Dietitian, Registered | 20 Pergola, Irvine, CA 92612 | 2019-08-29 |
| 1992350508 | Masi Hashemian Dds Inc | Dentist | Park Place Dentistry, 2981 Michelson Dr., Suite #b, Irvine, CA 92612 | 2019-08-09 |
| 1518426907 | Linklan Logistics Inc | Transportation Broker | 19200 Von Karman Ave Ste 612, Irvine, CA 92612 | 2019-03-15 |
| 1598220535 | Dorise Hebenstreit | Marriage & Family Therapist | 2151 Michelson Dr Ste 286, Irvine, CA 92612 | 2019-02-04 |
| 1871033365 | Livhome, Inc. | In Home Supportive Care | 19762 Macarhtur Blvd, Suite 120, Irvine, CA 92612 | 2017-03-02 |
| 1073061511 | Susan Nguyen | Marriage & Family Therapist | 2081 Business Center Dr Ste 109, Irvine, CA 92612 | 2016-09-13 |
| 1043617574 | Jason Polhamus | Community Health Worker | 4885 Royce Rd, Irivne, CA 92612 | 2014-11-26 |
| 1013313386 | Marisa Lepore | Marriage & Family Therapist | 19742 Centerpointe Plaza, Suite #125, Irvine, CA 92612 | 2014-11-13 |
| 1558798462 | Fatima Manesh | Acupuncturist | 8 Palmento Way, Irvine, CA 92612 | 2013-10-09 |
| Find all providers in zip 92612 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972102358 | Alana Model Heavirland | Marriage & Family Therapist | 8 Misty Shadow, Irvine, CA 92603-3766 | 2020-10-18 |
| 1225651482 | Jacalyn Jay Schoen | Marriage & Family Therapist | 17682 Mitchell N Ste 104, Irvine, CA 92614-6094 | 2020-05-22 |
| 1033730700 | Jodi Paris | Marriage & Family Therapist | 64 Sagan, Irvine, CA 92618-1332 | 2020-05-04 |
| 1629615984 | Sara Afsharpour | Marriage & Family Therapist | 2001 Business Center Dr, # 150, Irvine, CA 92612 | 2019-12-05 |
| 1265099527 | Kelley Kuit | Marriage & Family Therapist | 1682 Langley Ave, Irvine, CA 92614-5620 | 2019-05-22 |
| 1154888055 | Rafael Speck | Marriage & Family Therapist | 9 Barcelona, Irvine, CA 92614-5315 | 2019-02-27 |
| 1578020582 | Craig Hanggie | Marriage & Family Therapist | 335 Grand Canal, Irvine, CA 92620-1883 | 2019-02-26 |
| 1598220535 | Dorise Hebenstreit | Marriage & Family Therapist | 2151 Michelson Dr Ste 286, Irvine, CA 92612 | 2019-02-04 |
| 1801369244 | Shellee Mi Moore | Marriage & Family Therapist | 20 Corporate Park Ste 215, Irvine, CA 92606-3111 | 2019-01-08 |
| 1588133920 | Summer Witty | Marriage & Family Therapist | 152 Full Moon, Irvine, CA 92618-8806 | 2018-11-14 |
| Find all providers in IRVINE | ||||
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| 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.