Mo Se Kim
NPI 1215634712ActiveIndividual· Counselor, Professional· Buena Park, CA
Counselor, Professional in Buena Park, California, licensed in CA, with an NPI issued in February 2023.
Overview
| NPI | 1215634712 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Feb 14, 2023 |
| Last updated in NPPES | Apr 29, 2025 |
| Certified by provider | Apr 29, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | 16606 | CA |
| Counselor, Mental Health | 101YM0800X | 5840 | CA |
| Counselor, Mental Health | 101YM0800X | 16606 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Counselor, Professional providers in Buena Park
- 1952766701
- 1912421371
- 1750236816