Individual provider Active NPI

Victoria Sau Lan Wong, MHC

  • Mental Health Counselor
  • Honolulu, HI
National Provider Identifier
1306664990
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MHC-1060-0 Issued in HI
Practice address
1060 Young St Ste 222
Honolulu, HI 96814-1609
Phone
(808) 219-2447
NPI assigned
Oct 1, 2024
Last updated
Apr 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MHC-1060-0 HI Primary

Addresses

Primary practice location

1060 Young St Ste 222
Honolulu, HI 96814-1609

Mailing address

PO Box 22141
Honolulu, HI 96823-2141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241113000790 HI Practitioner - Mental Health Counselor 0840724878 Practice locations: Honolulu, HI

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MHC-1060-0HIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Victoria Wong LMHC LLC CurrentSince Oct 1, 2024 Accepting new patients

Locations

1060 Young St
Ste 222
Honolulu, HI 96814
Phone (808) 219-2447

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1727740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1306664990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22141",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968232141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 YOUNG ST STE 222",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141609",
            "telephone_number": "808-219-2447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "VICTORIA",
        "middle_name": "SAU LAN",
        "credential": "MHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-01",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "HI",
            "license": "MHC-1060-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.