Kevin Kwockyau Wong Jr., LPC-ASSOCIATE

Primary specialty

CounselorTaxonomy code 101Y00000X

License

88118 Issued in TX

Practice address

5866 S Staples St Ste 204
Corpus Christi, TX 78413-3769

Phone

(361) 446-6460

NPI assigned

Nov 21, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1668988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668988800000",
    "number": "1346959210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6206 DENAIN DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784146000",
            "telephone_number": "703-725-0550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5866 S STAPLES ST STE 204",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784133769",
            "telephone_number": "361-446-6460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "KEVIN",
        "middle_name": "KWOCKYAU",
        "name_suffix": "Jr.",
        "credential": "LPC-ASSOCIATE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-11-21",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "88118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Wolford
• Women'S and Men'S Health Services of the Coastal Bend, Inc.
• Women'S and Men'S Health Services of the Coastal Bend, Inc.
• Keith Austin Wommack, C.S.B.
• Douglas Wondra
• Matthew Ngai-Heung Wong, PT
• Amy Wood, CRNA
• Matthew Wood
• Rachel Woodbury
• Paul Frank Woodruff, DDS

• Counselor in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2022; 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.