JOHNNY KIM LCSW NPI 1578134425

NPI Information

  • NPI: 1578134425
  • Provider Name: JOHNNY KIM, LCSW
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 677 CRAIG RD STE 214
    CREVE COEUR, MO
    ZIP 63141
  • Phone: (314) 669-1305

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NPI Details

Johnny Kim, LCSW is a mental health counselor in Creve Coeur, MO. Johnny Kim, LCSW NPI is 1578134425. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

677 CRAIG RD STE 214
CREVE COEUR, MO
ZIP 63141-125
Phone: (314) 669-1305

The enumeration date for this NPI number is 7/1/2021 and was last updated on 12/12/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental Health149.028195ILLINOISNo
2101YM0800XCounselorMental HealthNo
3101YM0800XCounselorMental Health2023038331MISSOURIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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