Illenia Law Wong, AMFT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

AMFT149973 Issued in CA

Practice address

155 Granada St Ste N
Camarillo, CA 93010-7725

Phone

(180) 598-7316

NPI assigned

Apr 29, 2025

Sex

Female

Sole proprietor

No

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": "1745884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1386432227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 N MOORPARK RD STE A PO BOX 1097",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913604343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 GRANADA ST STE N",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930107725",
            "telephone_number": "180-598-7316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "ILLENIA",
        "middle_name": "LAW",
        "credential": "AMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-29",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "AMFT149973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marc D. Wolfsohn, MD
• Stefany D. Wolfsohn, MD
• Emma Wolters
• Michelle Christine Wonders, M.S.,M.F.T.
• Calbert A Wong, M.D.
• Lester Wong, PHARM.D.
• Wilson Wong
• Robert Wood, M.D.
• Celia Maria Woods, M.D.
• Diona Woods

• Mental Health Counselor in Camarillo, CA
• Providers in Camarillo, 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 Apr 29, 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.