JOANNE B KIM (NPI# 1063050003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063050003 |
| Entity Type | Individual |
| Full Name | JOANNE B KIM |
| Credential | LMFT |
| Practice Address |
3880 S Bascom Ave Ste 202 San Jose CA 95124-2675 |
| Practice Telephone | 4086081366 |
| Mailing Telephone | 4086081366 |
| Enumeration Date | 2019-12-19 |
| Last Update Date | 2019-12-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 110804 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578112017 | Joanne Kim | Counselor | 4414 5th St Nw, Washington, DC 20011-4723 | 2019-09-07 |
| 1770148835 | Joanne Hye Jung Kim | Acupuncturist | 17411 Vinwood Ln, Yorba Linda, CA 92886-1802 | 2019-05-04 |
| 1700238060 | Joanne Kim | Optometrist | 3535 Rayford Rd Ste 500, Spring, TX 77386-4364 | 2016-07-11 |
| 1205290327 | Joanne Jeehae Kim | Dentist | 512 Moody Ct Apt 201, Martinez, GA 30907-7338 | 2016-04-06 |
| 1093755191 | Joanne Kim | Optometrist | 3323 W Olympic Blvd, Los Angeles, CA 90019-2351 | 2006-06-07 |
| 1437785433 | Joanne Eunhwa Kim | Pharmacist | 72314 Highway 111, Palm Desert, CA 92260-2747 | 2020-03-21 |
| 1235765785 | Joanne Kim | Pharmacist | 1701 Galvin Rd S, Bellevue, NE 68005-3810 | 2020-03-17 |
| 1912469610 | Joanne Kim | Student in an Organized Health Care Education/Training Program | 6431 Fannin St Ste Msb 1134, Houston, TX 77030-1501 | 2019-04-02 |
| 1396130001 | Joanne Kim | Pharmacist | 1701 Auburn Way S, Auburn, WA 98002-6348 | 2015-03-30 |
| 1750633053 | Joanne Jeongahoh Kim | Pharmacist | 1985 Zonal Ave, Los Angeles, CA 90089-9121 | 2012-10-10 |
| Street Address |
3880 S BASCOM AVE STE 202 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95124-2675 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508012097 | Mary Anne Fifield | Marriage & Family Therapist | 3880 S Bascom Ave Ste 202, San Jose, CA 95124-2675 | 2008-08-15 |
| 1740887744 | Carol Irene Walsh | Psychologist | 3880 S Bascom Ave Ste 202, San Jose, CA 95124-2675 | 2020-10-03 |
| 1669079638 | Sarah Kang | Counselor | 3880 S Bascom Ave Ste 202, San Jose, CA 95124-2675 | 2020-10-02 |
| 1669087912 | Christian Counseling Center-san Jose | Counselor | 3880 S Bascom Ave Ste 202, San Jose, CA 95124-2675 | 2020-09-14 |
| 1982178810 | Laura Elizabeth Dehority | Marriage & Family Therapist | 3880 S Bascom Ave Ste 202, San Jose, CA 95124-2675 | 2019-01-14 |
| 1699249532 | Mariana Nenadic Shanks | Marriage & Family Therapist | 3880 S Bascom Ave Ste 202, San Jose, CA 95124-2675 | 2019-01-14 |
| 1568911691 | Harmonie Stone | Marriage & Family Therapist | 3880 S Bascom Ave Ste 202, San Jose, CA 95124 | 2016-09-30 |
| 1932552411 | Devan Arielle Scheibley | Marriage & Family Therapist | 3880 S Bascom Ave Ste 202, San Jose, CA 95124-2675 | 2016-07-19 |
| 1942658133 | Allison Connelly | Marriage & Family Therapist | 3880 S Bascom Ave Ste 202, San Jose, CA 95124-2675 | 2016-05-27 |
| 1063889764 | Christine Lee | Counselor | 3880 S Bascom Ave Ste 202, San Jose, CA 95124-2675 | 2015-08-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720548894 | Talkawhile Child and Family Therapy Center PC | Marriage & Family Therapist | 2577 Samaritain Drive, Suite 715, San Jose, CA 95124 | 2019-03-23 |
| 1558847129 | Anne Marie Hamilton | Nurse Practitioner | 2851 Samaritan Dr., San Jose, CA 95124 | 2018-07-17 |
| 1619488665 | Vicky Nguyen | Dentist | 3994 S Bascom Ave # 5, San Jose, CA 95124 | 2017-10-17 |
| 1255840625 | Emmanuel Rohani | Pharmacist | 4623 Fallstone Court, San Jose, CA 95124 | 2017-09-28 |
| 1669928933 | Karlena Lara-otero | Genetic Counselor, MS | 2589 Samaritan Drive, Floor 3, Mail Code: 7532, San Jose, CA 95124 | 2016-08-28 |
| 1982081287 | Shraddha Patel | Dietitian, Registered | 3535 Ross Ave Ste 202, San Jose, CA 95124 | 2015-05-06 |
| 1679966576 | Andrew Francis | Marriage & Family Therapist | 1936 Camden Ave Ste 5a, San Jose, CA 95124 | 2015-03-17 |
| 1164835914 | Addiction Recovery Center | Clinic/Center | 3880 S. Bascom Ave #206, San Jose, CA 95124 | 2014-06-10 |
| 1780005199 | Swathi Balantrapu | Physical Therapist | 14587 Branham Ln, San Jose, CA 95124 | 2014-01-02 |
| 1033405196 | Rick Li Pan | Dentist | 3535 Ross Ave, #201, San Jose, CA 95124 | 2011-06-27 |
| Find all providers in zip 95124 | ||||
| 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 |
|---|---|---|---|---|
| 1598372377 | Ratzburg Family Counseling Corporation | Marriage & Family Therapist | 465 Chinook Ln, San Jose, CA 95123-3311 | 2020-09-25 |
| 1285245431 | Carmen J. Frank | Marriage & Family Therapist | 913 Willow St., Suite 103, San Jose, CA 95125 | 2020-08-12 |
| 1083230981 | Joanna Leigh Carson-young | Marriage & Family Therapist | 1769 Park Ave Ste 220, San Jose, CA 95126-2025 | 2020-06-17 |
| 1144857467 | Glenn M Tanimura | Marriage & Family Therapist | 1079 Noble Ln, San Jose, CA 95132-3128 | 2020-03-25 |
| 1265067185 | Of Two Minds Psychotherapy | Marriage & Family Therapist | 190 S. Bascom Ave, Ste 130, San Jose, CA 95128 | 2020-03-11 |
| 1992339196 | Brenda Ann Farrell | Marriage & Family Therapist | 1625 The Alameda Ste 711, San Jose, CA 95126-2225 | 2020-02-26 |
| 1619507472 | Michelle Marie Wambach | Marriage & Family Therapist | 4020 Moorpark Ave Ste 206, San Jose, CA 95117-1846 | 2020-01-21 |
| 1699313080 | Juan Carlos Mercado | Marriage & Family Therapist | 290 North 2nd St, San Jose, CA 95112 | 2019-12-16 |
| 1497398002 | Veronica Marie Ayala | Marriage & Family Therapist | 840 Guadalupe Pkwy Fl 2, San Jose, CA 95110-1714 | 2019-10-26 |
| 1700428224 | Lynn Huggins | Marriage & Family Therapist | 1625 The Alameda Ste 304, San Jose, CA 95126-2223 | 2019-10-16 |
| Find all providers in SAN JOSE | ||||
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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.