Active NPI
Men Chun Wong, LMFT
- Marriage & Family Therapist
- Redwood City, CA
National Provider Identifier
1578045654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 139302
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 117496 | CA | MD | Social Worker |
| 139302 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Threaded Origins Marriage and Family Therapy & Consulting Inc | Current | Accepting new patients | |
| One Life Counseling Center | Past | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Burlingame, CA
- NPI 1831077502
-
- Community/Behavioral Health Agency
- San Carlos, CA
- NPI 1336504802
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.