JENNIFER MARIE YIM – Marriage & Family Therapist, NPI 1376175828

JENNIFER MARIE YIM is a healthcare provider. based in De soto, Missouri. specializing in MARRIAGE AND FAMILY THERAPIST. They hold a License No. 2019047984 (MO). The NPI Number for JENNIFER MARIE YIM is 1376175828

Main info

Female
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER MARIE YIM
NPI
1376175828
Phone
(636) 221-8178
Address
PO BOX 602
Enumeration Date
12 February 2020
Last Update Date
13 January 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8666300966
Graduation Year
2015 (11 years ago)
PAC ID
5294250247
Group Practice PAC ID
9537572490
Professional Enrollment ID
I20250512001485
Address ID
FL331312185MI333XXAVEX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

42 MARRIAGE AND FAMILY THERAPIST in MO

Provider Addresses for JENNIFER MARIE YIM

  • PO BOX 602

    DE SOTO, MO 630200602

    Phone: (636) 221-8178

    Type: Mailing

  • 4625 LINDELL BLVD STE 200

    SAINT LOUIS, MO 631083725

    Phone: (844) 888-9355

    Type: Location

  • 107 W 9th St Fl 2

    Kansas City, MO 641051705

    Phone: (844) 888-9355

    Type: Location

  • 1800 COMMUNITY

    CLINTON, MO 647358804

    Phone: (660) 885-8131

    Type: Mailing

  • 1780 OLD HIGHWAY 50 E

    UNION, MO 630843397

    Phone: (888) 403-1071

    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: 2025-05-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20250422003234IMarriage And Family TherapistMOTBD
I20250512001485IMarriage And Family TherapistFLTBD

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 63020)

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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: 9537572490View full group profile
NameSpecialtyState
Marriage And Family TherapistCA
Clinical PsychologistCO
Clinical Social WorkerVA
Nurse PractitionerCO
P S Y C H I A T R YPA
Clinical Social WorkerCO
Clinical Social WorkerCO
Nurse PractitionerGA
Clinical Social WorkerCO
Nurse PractitionerTX

Reviews

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Frequently asked questions

How do I look up JENNIFER MARIE YIM by NPI?
Use NPI 1376175828 when you need to reference JENNIFER MARIE YIM in forms, claims, or directories.
Is JENNIFER MARIE YIM currently active in the NPI registry?
CMS-published data lists JENNIFER MARIE YIM as an active registrant.
Does JENNIFER MARIE YIM list a primary specialty?
If you are matching referrals, note Marriage & Family Therapist for JENNIFER MARIE YIM. Clinical services aligned with this taxonomy classification.
What location shows for JENNIFER MARIE YIM?
We surface De Soto, Missouri for JENNIFER MARIE YIM based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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