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

Minkyo Jeon, LMFT

Individual provider Professional Counselor · NPI 1700513876

Minkyo Jeon, LMFT is a Marriage and Family Therapist in Los Angeles, California. Qualified in 2022, 4 years ago. Practices with Special Service for Groups Inc, a 61-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
4
Licensed in
CA
In the registry since
2022
Specialties on file
2
What do these letters mean?
LMFT — Licensed Marriage and Family Therapist
A therapist licensed to treat couples and families.

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Practice location Address checks out

1968 W Adams Blvd # 101
Los Angeles, CA 90018-3515
Phone: (323) 731-3534
Fax: (323) 731-5618
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 155020 (CA)
Professional Counselor Taxonomy 101YP2500X · Licence 20596 (CA)

Record details

NPI number1700513876
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMFT
Sole proprietorNo
NPI enumeratedAugust 8, 2022
Last updated in NPPESSeptember 30, 2025
Certification dateSeptember 30, 2025

Medicare enrollment

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

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Special Service For Groups Inc — 61 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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