Rhonda Suk Waller-Dang, LMFT, ATR

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

107844 Issued in CA

Practice address

2550 E Foothill Blvd
Pasadena, CA 91107

Phone

(626) 463-1021

NPI assigned

Jan 21, 2015

Sex

Female

Sole proprietor

Yes

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

Practice roles

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.

• The Wellness Arts Collective Marriage & Family Therapy Corporation

  • Mental Health Counselor
  • Los Angeles, CA
  • NPI 1598245458
  NPD (past) Authorized official

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

{
    "created_epoch": "1421798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534809600000",
    "number": "1588053078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4622A HOLLYWOOD BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900275408",
            "telephone_number": "323-536-1640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 E FOOTHILL BLVD",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "91107",
            "telephone_number": "626-463-1021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLER-DANG",
        "first_name": "RHONDA",
        "middle_name": "SUK",
        "credential": "LMFT, ATR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-21",
        "last_updated": "2018-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "107844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kendrick Wallace, B.A.
• Rebecca Wallace
• Sandra Louise Wallace, MD
• Shanae L Wallace, BI
• Thomas Clyde Wallace, M.D.
• Walnut Medical Equiptment, Inc.
• Alexander Craig Walsh, M.D.
• Ashley Dorathea Walsh
• Natalie Anna Walsh
• Walter Spears MD Inc

• Mental Health Counselor in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2018; 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.