Active NPI
Kao Xiong, MS
- Mental Health Counselor
- Wausau, WI
National Provider Identifier
1417104100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 303-226
- Practice address
- 705 S 24TH Ave Ste 400
Wausau, WI 54401-5242 - Phone
- (715) 843-1864
- Fax
- (715) 848-2959
- NPI assigned
- Aug 25, 2008
- Last updated
- Aug 25, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 303-226 | WI | Primary |
Addresses
Primary practice location
705 S 24TH Ave Ste 400
Wausau, WI 54401-5242
Mailing address
705 S 24TH Avenue
Ste 400
Wausau, WI 54401-5242
Phone (715) 843-1864
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 303-226 | WI | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children's Service Society | Past | Accepting new patients |
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.
-
- Professional Counselor
- Wausau, WI
- NPI 1497884597
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219622400000",
"number": "1417104100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "705 S 24TH AVENUE",
"address_2": "STE 400",
"city": "WAUSAU",
"state": "WI",
"postal_code": "544015242",
"telephone_number": "715-843-1864",
"fax_number": "715-848-2959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "705 S 24TH AVE STE 400",
"city": "WAUSAU",
"state": "WI",
"postal_code": "544015242",
"telephone_number": "715-843-1864",
"fax_number": "715-848-2959"
}
],
"practiceLocations": [],
"basic": {
"last_name": "XIONG",
"first_name": "KAO",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-08-25",
"last_updated": "2008-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WI",
"license": "303-226",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wausau, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.