ALICE KIM
NPI 1265039804
Counselor - Professional in Atlanta, GA
NPI Status: Active since October 06, 2020
Contact Information
2964 PEACHTREE RD NW STE 760
ATLANTA, GA
ZIP 30305
Phone: (236) 924-0404
- Individual
- Female
- Counselor
- Professional
- Opted-Out Medicare
About ALICE KIM
This page provides the complete NPI Profile along with additional information for Alice Kim, a provider established in Atlanta, Georgia with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1265039804 assigned on October 2020. The practitioner's primary taxonomy code is 101YP2500X. The provider is registered as an individual and her NPI record was last updated 3 years ago.
- NPI
- 1265039804
- Provider Name
- ALICE KIM
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 2964 PEACHTREE RD NW STE 760 ATLANTA, GA 30305
- Location Phone
- (236) 924-0404
- Mailing Address
- 1593 CREEK BEND LN LAWRENCEVILLE, GA 30043
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 10-06-2020
- Last Update Date
- 08-04-2022
- Code Navigator
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Alice Kim opted out of Medicare effective on 03-15-2024 until 03-15-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
Location Map
Secondary Locations
- 6095 Pine Mountain Rd NW Ste 105
Kennesaw, GA 30152
(678) 217-7529
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101YM0800X | Behavioral Health & Social Service Providers | Counselor |
Medicare Participation & PECOS Enrollment Status
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 03-15-2024
Opt-Out End Date: 03-15-2026
Eligible to Order and Refer? No
Reviews for ALICE KIM
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 6 | 5 | 0 | 3 | 9 | 8 | 0 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 12 | 5 | 0 | 3 | 18 | 8 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 2 + 5 + 0 + 3 + 1 + 8 + 8 + 0 + 24 = 56 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 56 = 4 | 4 | ||||||||
The NPI number 1265039804 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 11 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1881194959 | ELIZABETH KRAICH LAPC Individual | Counselor (Mental Health) | 2964 PEACHTREE RD NW STE 760 ATLANTA, GA 30305 (404) 960-3353 |
| 1467937227 | MARY ANNE ELIZABETH SHORT APC, NCC Individual | Counselor (Professional) | 2964 PEACHTREE RD NW STE 760 ATLANTA, GA 30305 (404) 200-0352 |
| 1134762115 | CHELSEY BLAIR BEAUCHAMP LPC Individual | Counselor (Mental Health) | 2964 PEACHTREE RD NW STE 760 ATLANTA, GA 30305 (404) 861-0993 |
| 1851067359 | JULIETA FLORES ALVAREZ Individual | Marriage & Family Therapist | 2964 PEACHTREE RD NW STE 760 ATLANTA, GA 30305 (404) 436-1196 |
| 1659067536 | SARAH GAIL HUGHES Individual | Counselor (Mental Health) | 2964 PEACHTREE RD NW STE 760 ATLANTA, GA 30305 (404) 345-4149 |
| 1821779588 | PAMELA PETRILLO Individual | Counselor | 2964 PEACHTREE RD NW STE 760 ATLANTA, GA 30305 (404) 358-1704 |
| 1487427662 | NICHOLE MICHELSON MA Individual | Counselor (Mental Health) | 2964 PEACHTREE RD NW STE 760 ATLANTA, GA 30305 (404) 913-6558 |
| 1053170829 | MRS. AMANDA DEMPSEY BARNES LMFT Individual | Marriage & Family Therapist | 2964 PEACHTREE RD NW STE 760 ATLANTA, GA 30305 (404) 747-7705 |
| 1710530647 | ELIZABETH MILLER ZAWKO LPC, RPT, NCC Individual | Counselor (Mental Health) | 2964 PEACHTREE RD NW STE 760 ATLANTA, GA 30305 (404) 345-4149 |
| 1558170142 | CARTER DAY Individual | Counselor (Mental Health) | 2964 PEACHTREE RD NW STE 760 ATLANTA, GA 30305 (864) 313-2970 |
| 1740004399 | MARGARET TESTANI Individual | Counselor (Mental Health) | 2964 PEACHTREE RD NW STE 760 ATLANTA, GA 30305 (404) 964-2214 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1265039804, enumerated in the NPI registry as an "individual" on October 06, 2020
The provider is located at 2964 Peachtree Rd Nw Ste 760 Atlanta, Ga 30305 and the phone number is (236) 924-0404
The provider's speciality is Counselor with taxonomy code 101YP2500X with a focus in Professional
No, the provider signed an affidavit on March 15, 2024 to opt-out of the Medicare program. The provider is excluded from the Medicare program until March 15, 2026.
This NPI record was last updated on October 06, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.