CHRISTINE KIM (LCPC) – Professional Counselor, NPI 1740489079

CHRISTINE KIM (LCPC) is a healthcare provider. based in Glen ellyn, Illinois. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LCPC. They hold a License No. 180-005438 (IL). The NPI Number for CHRISTINE KIM (LCPC) is 1740489079

Main info

Female
Sole Proprietor
26 Years Of Experience
Accepts Medicare Assignment
Name
CHRISTINE KIM (LCPC)
NPI
1740489079
Phone
(630) 247-0405
Address
436 ARLINGTON AVE
Enumeration Date
17 July 2007
Last Update Date
28 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8006931916
Graduation Year
2000 (26 years ago)
PAC ID
2163920729
Group Practice PAC ID
4880768415
Professional Enrollment ID
I20250812003715
Address ID
IL605631146NA1560XSTXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness85
Years active:18State licenses:1Digital endpointsOther names

2,307 MENTAL HEALTH COUNSELOR in IL

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Provider Addresses for CHRISTINE KIM (LCPC)

  • 436, Arlington Avenue, Glen Ellyn, DuPage County, Illinois, 60137, United States

    GLEN ELLYN, IL 601375307

    Phone: (630) 247-0405

    Type: Mailing

  • 34 N Island Ave Ste F

    Batavia, IL 605101996

    Phone: (847) 867-8936

    Type: Location

  • 1509 S COUNTY FARM RD APT 2-4

    WHEATON, IL 601897165

    Phone: (630) 247-0405

    Type: Mailing

  • 2 E 22ND ST STE 205

    LOMBARD, IL 601486125

    Phone: (630) 361-0359

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-08-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250812003715IMental Health CounselorILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60137)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4880768415View full group profile
NameSpecialtyState
-MI
Clinical Social WorkerMI
-IN
Clinical Social WorkerMI
Clinical Social WorkerMI
Clinical PsychologistMI
Clinical Social WorkerWI
Clinical Social WorkerMI
-MI
Clinical Social WorkerMI

Reviews

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Frequently asked questions

Is CHRISTINE KIM (LCPC) listed with a National Provider Identifier?
Yes — CHRISTINE KIM (LCPC) has NPI 1740489079 on file in the registry.
Is there an active status for CHRISTINE KIM (LCPC)?
For scheduling context, CHRISTINE KIM (LCPC) is shown as active in the registry.
How would a patient describe CHRISTINE KIM (LCPC)'s focus?
For CHRISTINE KIM (LCPC), the primary taxonomy reads as Professional Counselor. Clinical services aligned with this taxonomy classification.
What practice footprint exists for CHRISTINE KIM (LCPC)?
Travel planning: use Glen Ellyn, Illinois as the reference point for CHRISTINE KIM (LCPC), then confirm.
When was this NPI issued?
Enumeration for CHRISTINE KIM (LCPC) is noted as July 17, 2007 where the registry provides it.

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