Kimberly Sue Wongwai, CCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

CCC.CL70038778 Issued in WA

Practice address

112 Ellie Way
Washougal, WA 98671-7952

Phone

(503) 329-0121

NPI assigned

Nov 17, 2025

Last updated

Nov 17, 2025By 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 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": "1763337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763337600000",
    "number": "1437019775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 ELLIE WAY",
            "city": "WASHOUGAL",
            "state": "WA",
            "postal_code": "986717952",
            "telephone_number": "503-329-0121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 ELLIE WAY",
            "city": "WASHOUGAL",
            "state": "WA",
            "postal_code": "986717952",
            "telephone_number": "503-329-0121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONGWAI",
        "first_name": "KIMBERLY",
        "middle_name": "SUE",
        "credential": "CCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-17",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "CCC.CL70038778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Weil, LMT
• Rebecca Wilkie, LMT
• Laurie C Witt-Myers, CCC-SLP
• Madeleine Marie Wolfe, COTA
• Debra K Wolff, LMT
• Zachary Wood, PHARMD
• Ellen Worral, RDH
• Jayde M Wright, LPN
• Diana Wurzer, LMP
• Sarah Yee, BA, NTP, RWP

• Mental Health Counselor in Washougal, WA
• Providers in Washougal, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.