Agnes Kwong, PH.D.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

PY60126753 Issued in WA

Practice address

338 NW 85TH St
Seattle, WA 98117-3120

Phone

(206) 659-5945

Fax

(206) 494-4562

NPI assigned

Jan 5, 2012

Last updated

Nov 8, 2022By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jun 9, 2021 through Jun 9, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Seattle Therapy Practice, PLLC

  dba Agnes Kwong

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Seattle, WA
  • NPI 1598269110

  Counseling

  NPD Authorized official
• Bob's Psychotherapy

  • Clinic/Center
  • Seattle, WA
  • NPI 1518787035
  NPD

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

{
    "created_epoch": "1325721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667865600000",
    "number": "1255601399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "338 NW 85TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981173120",
            "telephone_number": "206-434-1522",
            "fax_number": "206-494-4562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "338 NW 85TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981173120",
            "telephone_number": "206-659-5945",
            "fax_number": "206-494-4562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWONG",
        "first_name": "AGNES",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-05",
        "last_updated": "2022-11-08",
        "certification_date": "2022-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WA",
            "license": "60126753",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "WA",
            "license": "PY60126753",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1255601399",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Regina Kwon, MD, MPH
• Soo Young Kwon, MD
• Young M Kwon, MPH, RD, CD
• Younghoon Kwon, MD
• Yujeong Alyx Kwon, RDH
• Elaine Kwong
• Ivy Kwong
• Sunna Kwun, MD
• Kyeisha Hodge, LLC
• Kyle a. Smits DDS PLLC

• Counseling Psychologist in Seattle, WA
• Providers in Seattle, WA by specialty
• Counseling Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.