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

Soohyun Kim

Individual provider Mental Health Counselor · NPI 1336804418

Soohyun Kim is a Mental Health Counselor in Commack, New York. Qualified in 2021, 5 years ago. Practices with Sr Medical Services PLLC, an 11-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
5
Licensed in
NY
In the registry since
2021
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Practice location Address checks out

2171 Jericho Tpke
Commack, NY 11725-2937
Phone: (516) 817-6002
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence P111995 (NY)

Record details

NPI number1336804418
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 3, 2021
Last updated in NPPESNovember 3, 2021
Certification dateNovember 3, 2021
Mailing address6174b 223rd Pl, Oakland Gardens, NY 11364-2329

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Sr Medical Services Pllc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Commack