Joanna Mary Watson-Wong, LMFT, LCMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

30508 Issued in CA

Practice address

2501 East Central Ave
Wichita, KS 67214

Phone

(650) 455-5040

NPI assigned

Jan 4, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Joanna Mary Watson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 24, 2024 through Jan 24, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1641254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1679234553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 798",
            "address_2": "#20211091",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666010798",
            "telephone_number": "650-455-5040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 EAST CENTRAL AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "67214",
            "telephone_number": "650-455-5040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON-WONG",
        "first_name": "JOANNA",
        "middle_name": "MARY",
        "credential": "LMFT, LCMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-04",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KS",
            "license": "829",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "30508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOANNA",
            "last_name": "WATSON",
            "middle_name": "MARY",
            "credential": "LMFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Blair D G Watkins, DNP APRN FNP-C BSPH
• Elizabeth E Watkins, SLP
• Kaycie Watkins
• Melody M Watkins, CRNA
• Watson Village LLC
• Alexis Watson, LMSW-T
• Angela Watson, LSCSW
• Emily S Watson
• Heather Watson, MS, LCAC
• Lisa Marie Watson, RN

• Marriage & Family Therapist in Wichita, KS
• Providers in Wichita, KS by specialty
• Marriage & Family Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.