DR. JEONG HAN KIM (NPI# 1336619790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1336619790 |
Entity Type | Individual |
Full Name | DR. JEONG HAN KIM |
Credential | PH.D., CRC |
Practice Address |
3601 4th St Stop 6225 Lubbock TX 79430-6225 |
Practice Telephone | 8067432135 |
Practice Fax Number | 8067433244 |
Mailing Telephone | 8067432135 |
Mailing Fax Number | 8067433244 |
Enumeration Date | 2018-11-28 |
Last Update Date | 2018-11-28 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
Street Address |
3601 4TH ST STOP 6225 |
City | LUBBOCK |
State | TX |
Zip Code | 79430-6225 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750840898 | Taryn Richardson | Counselor | 3601 4th St Stop 6225, Lubbock, TX 79430-6225 | 2019-03-18 |
1851859524 | Rebecca Rose Sametz | Counselor | 3601 4th St Stop 6225, Lubbock, TX 79430-6225 | 2019-03-12 |
1598235095 | Evans H Spears | Counselor | 3601 4th St Stop 6225, Lubbock, TX 79430-6225 | 2018-11-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730702473 | Emily Bouffard | Student in an Organized Health Care Education/Training Program | 3601 4th Street Mail Stop 8143, Lubbock, TX 79430 | 2020-05-27 |
1891350310 | Erin Leigh Burton | Student in an Organized Health Care Education/Training Program | 3601 Fourth Street, Department of Surgery Ms 8312, Lubbock, TX 79430 | 2019-05-09 |
1851861439 | Zachery Brian Sneed | Counselor | 3b310, 3601 4th St Stop 6225, Lubbock, TX 79430 | 2018-11-27 |
1831683481 | Swagat Parajulee | Student in an Organized Health Care Education/Training Program | 3601 4th St., Stop 9410, Office 4b076, Lubbock, TX 79430 | 2018-06-18 |
1649711904 | William David Boothe Jr. | Dermatology | 3601 4th St Stop 6211, Lubbock, TX 79430 | 2017-03-19 |
1982144945 | Kazutaka Araki | Specialist/Technologist | 3601, 4th St, Lubbock, TX 79430 | 2017-02-24 |
1659725125 | Thomas Gregory Wyatt | Student in an Organized Health Care Education/Training Program | 3601 4th St Rm 3a122b, Lubbock, TX 79430 | 2016-04-20 |
1619391760 | Chinyere Mbagwu | General Practice | 3601 4th St # Ms 8143, Lubbock, TX 79430 | 2014-02-10 |
1982044111 | Eileen Mary Sprys | Family Medicine | 3601 4th St., Stop 8143, Lubbock, TX 79430 | 2013-07-02 |
1205196243 | Hilmi Alam | Family Medicine | Department of Family & Community Medicine, 3601 4th Street, Stop 8143, Lubbock, TX 79430 | 2012-05-24 |
Find all providers in zip 79430 |
Taxonomy Code | 101Y00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093314858 | Madison Bishop | Counselor | 7526 103rd St, Lubbock, TX 79424-6699 | 2020-10-22 |
1356948574 | Patricia May Johnson | Counselor | 4601 20th St, Lubbock, TX 79407-2307 | 2020-10-01 |
1023627304 | Denovo Therapy LLC | Counselor | 2345 50th St Ste 501, Lubbock, TX 79412-2565 | 2020-07-23 |
1770115677 | Melinda S. Hutcherson | Counselor | 4304 94th St, Lubbock, TX 79423-3958 | 2020-02-07 |
1427531052 | Catholic Charities | Counselor | 102 Avenue J, Lubbock, TX 79401-1438 | 2018-09-10 |
1407380587 | Karmen Adkins Neal | Counselor | 2574 74th Street, Suite 213, Lubbock, TX 79423 | 2017-04-17 |
1225560071 | Kellye Wilhite | Counselor | 410 Ironton Ave, Lubbock, TX 79416-4102 | 2017-03-31 |
1972043545 | Angela Lee | Counselor | 2781 81st St, Lubbock, TX 79423-2229 | 2017-03-02 |
1003285321 | Gabrielle K Keenum Ma Lpc PC | Counselor | 6309 Indiana Ave Ste D, Lubbock, TX 79413-5739 | 2015-09-16 |
1942679345 | Sammy Espinosa | Counselor | 2402 52nd Street, Suite #6, Lubbock, TX 79412-2548 | 2015-09-16 |
Find all providers in LUBBOCK |
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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.