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

Jinse Kim, PHD, LPC

Individual provider Professional Counselor · NPI 1821632431

Jinse Kim, PHD, LPC is a Professional Counselor in Centreville, Virginia. Practices as a sole proprietor. Licensed in Maryland and Virginia.

Licensed in
MD, VA
In the registry since
2019
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

14631 Lee Hwy Ste 313
Centreville, VA 20121-5834
Phone: (703) 650-9099
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 0701008862 (VA)
Professional Counselor Taxonomy 101YP2500X · Licence LC10007 (MD)

Record details

NPI number1821632431
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD , LPC
Sole proprietorYes
NPI enumeratedNovember 6, 2019
Last updated in NPPESSeptember 23, 2023
Certification dateSeptember 23, 2023
Mailing address6538 Creek Run Dr, Centreville, VA 20121-3865

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