Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Han Soo Kim, MA

Individual provider Mental Health Counselor · NPI 1033761408

Han Soo Kim, MA is a Mental Health Counselor in Lynnwood, Washington. Qualified in 1999, 27 years ago. Practices with Mindful Therapy Group PC, a 646-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Washington.

Years since qualifying
27
Licensed in
WA
In the registry since
2019
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

4629 168th St SW Ste E
Lynnwood, WA 98037-8640
Phone: (425) 776-1290
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9102 Bridgeport Way Sw, Lakewood, WA 98499-2418 — (253) 302-3826

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence LH60971499 (WA)

Record details

NPI number1033761408
Entity typeIndividual (Type 1)
GenderMale
Credentials MA
Sole proprietorYes
NPI enumeratedJuly 15, 2019
Last updated in NPPESNovember 29, 2022
Certification dateNovember 29, 2022
Mailing address9102 Bridgeport Way Sw, Lakewood, WA 98499-2418

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Mindful Therapy Group Pc — 646 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Lynnwood