Active NPI
Steven Hing Wong, LPCC, LADAC
- Professional Counselor
- Albuquerque, NM
National Provider Identifier
1508055013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0108421
- Practice address
- 2309 Renard PL SE Ste 117
Albuquerque, NM 87106-4264 - Phone
- (505) 401-5976
- Fax
- (505) 256-5171
- NPI assigned
- Oct 20, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 0108411 | NM | |
| Professional Counselor | 101YP2500X | 0108421 | NM | Primary |
Addresses
Primary practice location
2309 Renard PL SE Ste 117
Albuquerque, NM 87106-4264
Mailing address
424 Bryn Mawr Dr SE
Albuquerque, NM 87106-2206
Phone (505) 401-5976
Other practice location 1
1400 Carlisle Blvd NE
Suite A
Albuquerque, NM 87110-5658
Phone (505) 242-3050
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 65873874 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0108411 | NM | MD | Addiction (Substance Use Disorder) Counselor |
| 0108421 | NM | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pathfinder Visions, Inc. | Professional | Current | Accepting new patients |
Locations
107 Bryn Mawr Dr SE
Albuquerque, NM 87106
Phone (505) 681-0708
1400 Carlisle Blvd NE
Ste A
Albuquerque, NM 87110
Phone (505) 242-3050
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 and National Provider Directory roles.
-
- Professional Counselor
- Albuquerque, NM
- NPI 1043378227
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560297600000",
"number": "1508055013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "424 BRYN MAWR DR SE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871062206",
"telephone_number": "505-401-5976",
"fax_number": "505-256-5171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2309 RENARD PL SE STE 117",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871064264",
"telephone_number": "505-401-5976",
"fax_number": "505-256-5171"
}
],
"practiceLocations": [
{
"address_1": "1400 Carlisle Blvd NE",
"address_2": "Suite A",
"address_purpose": "LOCATION",
"city": "Albuquerque",
"state": "NM",
"postal_code": "871105658",
"country_code": "US",
"telephone_number": "505-242-3050",
"fax_number": "505-256-5171",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WONG",
"first_name": "STEVEN",
"middle_name": "HING",
"name_prefix": "Mr.",
"credential": "LPCC, LADAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-10-20",
"last_updated": "2019-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NM",
"license": "0108411",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NM",
"license": "0108421",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "65873874",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.