Khang Sy Dong, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

75157 Issued in TX

Practice address

1430 Collier St
Austin, TX 78704

Phone

(512) 472-4357

Fax

(512) 957-0156

NPI assigned

Aug 10, 2018

Last updated

Sep 6, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• BSW Geode Clinicians of Texas PLLC

  dba Geode Health 2

  • Psychiatry Physician
  • Allen, TX
  • NPI 1790482834
  NPD
• Geode Health of Texas, PLLC

  • Psychiatry Physician
  • Allen, TX
  • NPI 1851037162
  NPD

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

{
    "created_epoch": "1533859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536192000000",
    "number": "1699254623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 COLLIER ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787042911",
            "telephone_number": "512-472-4357",
            "fax_number": "512-957-0156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 COLLIER ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78704",
            "telephone_number": "512-472-4357",
            "fax_number": "512-957-0156"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7220 Wyoming Springs Dr Unit 303",
            "address_purpose": "LOCATION",
            "city": "Round Rock",
            "state": "TX",
            "postal_code": "786814323",
            "country_code": "US",
            "telephone_number": "832-858-1691",
            "fax_number": "512-957-0156",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1714 Fortview Rd Ste 106",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787047659",
            "country_code": "US",
            "telephone_number": "512-887-8036",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1009 E 40th St Ste 3310",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787514838",
            "country_code": "US",
            "telephone_number": "512-544-5253",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DONG",
        "first_name": "KHANG",
        "middle_name": "SY",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-10",
        "last_updated": "2018-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "75157",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS STATE BOARD OF COUNSELORS",
            "identifier": "75157",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lyrica Donaldson
• Samuel Andrew Donaldson, PH.D.
• Priscila Almeida Donangelo, DDS
• Han Dong
• Kevin Dong, PHARMD
• Christian Dongo, DDS
• Richard Donkersgoed
• Brian Edward Donley
• Ellis A Donnell
• Michael R Donnell, PSY.D.

• Professional Counselor in Austin, TX
• Providers in Austin, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2018; 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.

Verify at the official NPI Registry.