Active NPIIndividual providerSole proprietor

Ms. Raven L Kim, LMHC, RN

Counselor, Mental Health in Manasquan, New Jersey

NPI Number1902368442
Practice location
200 Atlantic Ave Ste K, Manasquan, NJ 08736-1352
Fax
732-292-0399
Last updated
April 3, 2019

Raven Lea Kim is a Counselor, Mental Health based in Manasquan, NJ. Raven Lea Kim practices in Manasquan, NJ and has the professional credentials of LMHC, RN. The NPI Number for Raven Lea Kim is 1902368442 and holds a License No. 37PC00634800 (NJ). The current practice location address for Raven Lea Kim is 200 Atlantic Ave Ste K, Manasquan, NJ 08736-1352 and can be reached out via phone at 732-292-0388 and via fax at 732-292-0399.

Provider Profile Details

NPI Number
1902368442
Provider Name
Raven Lea Kim
Credential
LMHC, RN
Provider Entity Type
Individual
Gender
Female
Address
200 Atlantic Ave Ste K, Manasquan, NJ 08736-1352
Phone Number
732-292-0388
Fax Number
732-292-0399
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
Yes
Provider Enumeration Date
April 3, 2019
Last Update Date
April 3, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
200 Atlantic Ave Ste K
Manasquan, NJ 08736-1352
Zip
08736-1352
Phone Number
732-292-0388
Fax Number
732-292-0399
Manasquan, NJ 08736Get directions →

Provider Business Mailing Address Details

Address
200 Atlantic Ave Ste K
Manasquan, NJ 08736-1352
City
Manasquan
State
NJ
Zip
08736-1352
Phone Number
732-292-0388

License Information

License Number
37PC00634800
License State
NJ
Taxonomy
Counselor, Mental Health · 101YM0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Raven L Kim, LMHC, RN?

The NPI number of Ms. Raven L Kim, LMHC, RN is 1902368442. It was assigned on April 3, 2019 and is currently active in the NPPES registry.

What is the specialty of Ms. Raven L Kim, LMHC, RN?

Ms. Raven L Kim, LMHC, RN is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in NJ under license number 37PC00634800.

Where does Ms. Raven L Kim, LMHC, RN practice?

The practice location is 200 Atlantic Ave Ste K, Manasquan, NJ 08736-1352. The office can be reached at 732-292-0388 (phone) or 732-292-0399 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1902368442 directly on the NPPES registry website.

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