Individual ProviderDaniel KimCounselorBehavioral Health & Social Service ProvidersPractice Address12025 115th Ave NE Ste 200, Kirkland, WA 98034-6935(425) 270-8645PECOS EnrollmentBased on the most recent information from CMS, provider Daniel Kim is legally eligible to order and refer claims for Part B and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1720403421Provider TypeIndividualFull NameKim, DanielCredentialMA, LMHCGenderMaleSole ProprietorYesEnumeration Date3/4/2014Last Updated4/22/2022Contact InformationPractice LocationPractice Address12025 115th Ave NE Ste 200, Kirkland, WA 98034-6935Phone(425) 270-8645FaxUnlisted FaxMailing LocationMailing Address22705 NE 18th Pl, Sammamish, WA 98074-4113PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseLH60995046Washington