VIRGIL KIM NPI 1881996551

NPI Information

  • NPI: 1881996551
  • Provider Name: VIRGIL KIM
  • Classification: Marriage & Family Therapist - 106H00000X
  • Entity Type: Individual
  • Address: 14090 FRYELANDS BLVD SE STE 347
    MONROE, WA
    ZIP 98272
  • Phone: (360) 805-3122

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NPI Details

Virgil Kim is a marriage family therapist in Monroe, WA. The provider is 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. Virgil Kim NPI is 1881996551. 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:

14090 FRYELANDS BLVD SE STE 347
MONROE, WA
ZIP 98272-760
Phone: (360) 805-3122
Fax: (360) 805-9180

The enumeration date for this NPI number is 12/1/2010 and was last updated on 6/16/2018.

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
1101YA0400XCounselorAddiction (Substance Use Disorder)60795326WASHINGTONNo
2106H00000XMarriage & Family TherapistMG60172608WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11881996551MEDICAIDWASHINGTON

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: 3/30/2025

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