Jae Kim, LPC in Alexandria, VA - Medicare Counselor Provider

Jae Kim, LPC is a medicare enrolled "Counselor - Professional" provider in Alexandria, Virginia. His current practice location is 6901 S Van Dorn St, Alexandria, Virginia. You can reach out to his office (for appointments etc.) via phone at (703) 313-6300.

Jae Kim is licensed to practice in Virginia (license number 0701013320) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1265155188.

Contact Information

	Jae Kim, LPC
	6901 S Van Dorn St, Alexandria, VA 22315-3961
	(703) 313-6300
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jae Kim
Gender	Male
Speciality	Counselor - Professional
Location	6901 S Van Dorn St, Alexandria, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265155188
Provider Enumeration Date: 09/26/2022
Last Update Date: 02/28/2024

Medicare PECOS Information:

PECOS PAC ID: 7416395033
Enrollment ID: I20240402002285

Medical Identifiers

Medical identifiers for Jae Kim such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265155188	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	0701013320 (Virginia)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jae Kim allows following entities to bill medicare on his behalf.

Entity Name	Fairfax County, Virginia
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154356244 PECOS PAC ID: 9739136847 Enrollment ID: O20210319001688

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jae Kim is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jae Kim, LPC 6901 S Van Dorn St, Alexandria, VA 22315-3961 Ph: () -	Jae Kim, LPC 6901 S Van Dorn St, Alexandria, VA 22315-3961 Ph: (703) 313-6300

Reviews and Comments

Counselor in Alexandria, VA

Dr. John-paul James, PH.D., D.MIN., DACBN Counselor Medicare: Not Enrolled in Medicare Practice Location: 2800 Eisenhower Ave, Alexandria, VA 22314 Phone: 240-383-4800 Fax: 240-846-1533
Mrs. Kasey Lynn Gordon Cain, RESIDENT INCOUNSELIG Counselor Medicare: Not Enrolled in Medicare Practice Location: 2850 Eisenhower Ave, Alexandria, VA 22314 Phone: 703-991-6005
Amber Ferguson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2800 Eisenhower Ave Ste 200, Alexandria, VA 22314 Phone: 703-562-9220 Fax: 703-520-7745
Qi Chen, LGPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3361 Beechcliff Dr, Alexandria, VA 22306 Phone: 970-889-9295
Karin Layne, QMHP, CASAC-S Counselor Medicare: Not Enrolled in Medicare Practice Location: 205 S Whiting St Ste 600, Alexandria, VA 22304 Phone: 571-257-8631 Fax: 571-231-4304
Ms. Lynn Marie Fritts, Counselor Medicare: Not Enrolled in Medicare Practice Location: 720 N Saint Asaph St, Alexandria, VA 22314 Phone: 703-838-6400 Fax: 703-838-5062
Alycia Gayle Burant, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 950 N Washington St, Suite 322, Alexandria, VA 22314 Phone: 703-408-3512

Jae Kim, LPC - Medicare Counselor in Alexandria, VA