Individual provider Active NPI

Men Chun Wong, LMFT

  • Marriage & Family Therapist
  • Redwood City, CA
National Provider Identifier
1578045654
Registry record updated Nov 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
139302 Issued in CA
Practice address
647 Veterans Blvd Ste a
Redwood City, CA 94063-1441
Phone
(415) 985-6179
NPI assigned
Sep 5, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 117496 CA
Marriage & Family Therapist 106H00000X 139302 CA Primary

Addresses

Primary practice location

647 Veterans Blvd Ste a
Redwood City, CA 94063-1441

Mailing address

2268 Westborough Blvd Ste 302-248
South San Francisco, CA 94080-5435
Phone (415) 985-6179

Other practice location 1

1290 Howard Ave Ste 202E
Burlingame, CA 94010-4222
Phone (415) 985-6179

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

State licenses

LicenseStateTypeSpecialty
117496CAMDSocial Worker
139302CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Threaded Origins Marriage and Family Therapy & Consulting Inc CurrentSince Aug 25, 2025 Accepting new patients
One Life Counseling Center PastSince Oct 1, 2022 Accepting new patients

Locations

1290 Howard Ave
Ste 202E
Burlingame, CA 94010
Phone (415) 985-6179

2268 Westborough Blvd
Ste 302248
South San Francisco, CA 94080

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1536105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763683200000",
    "number": "1578045654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2268 WESTBOROUGH BLVD STE 302-248",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940805435",
            "telephone_number": "415-985-6179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "647 VETERANS BLVD STE A",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940631441",
            "telephone_number": "415-985-6179"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1290 Howard Ave Ste 202E",
            "address_purpose": "LOCATION",
            "city": "Burlingame",
            "state": "CA",
            "postal_code": "940104222",
            "country_code": "US",
            "telephone_number": "415-985-6179",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WONG",
        "first_name": "MEN CHUN",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-09-05",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "117496",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "139302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redwood City, CA

Sources for this page

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