Kim Wynia, LMFT, CADC II, FAC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

112305 Issued in CA

Practice address

12440 Firestone Blvd Ste 100
Norwalk, CA 90650-4340

Phone

(562) 277-1638

NPI assigned

Oct 3, 2012

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Detection & Treatment Resources, Inc

  • Marriage & Family Therapist
  • Inglewood, CA
  • NPI 1114686235
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1349222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1003168832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1422 E ARTESIA BLVD",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908051619",
            "telephone_number": "562-733-7186",
            "fax_number": "562-423-0688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12440 FIRESTONE BLVD STE 100",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906504340",
            "telephone_number": "562-277-1638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYNIA",
        "first_name": "KIM",
        "credential": "LMFT, CADC II, FAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-03",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "W1206081641",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "112305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Wong
• Stephanie Wong
• Tat Wong
• Lisa M Wright, AMFT
• Cheuk PO Wu
• Jasmine Wynn, MD
• Amy Xu
• Farshad David Yadegar, PSY.D.
• Kelly Yamaguchi, RPT
• Chengxin Yang, MD

• Mental Health Counselor in Norwalk, CA
• Providers in Norwalk, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.