Individual provider Active NPI

Kathryn Kellie Ah Wong, M.A., L.P.C.

  • Mental Health Counselor
  • Meadville, PA
National Provider Identifier
1750726436
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PC006879 Issued in PA
Practice address
262 Chestnut St
Meadville, PA 16335-3302
Phone
(814) 332-0095
Fax
(814) 332-0081
NPI assigned
May 7, 2013
Last updated
Aug 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X PC006879 PA Primary

Addresses

Primary practice location

262 Chestnut St
Meadville, PA 16335-3302

Mailing address

18750 Leimbach Rd
Saegertown, PA 16433-6826
Phone (814) 853-9112

Other practice location 1

18750 Leimbach Rd
Saegertown, PA 16433-6826
Phone (814) 853-9112

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
PC006879PAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Seasons Counseling Services, LLC CurrentSince Sep 1, 2024 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1367884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1750726436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18750 LEIMBACH RD",
            "city": "SAEGERTOWN",
            "state": "PA",
            "postal_code": "164336826",
            "telephone_number": "814-853-9112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "262 CHESTNUT ST",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163353302",
            "telephone_number": "814-332-0095",
            "fax_number": "814-332-0081"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18750 Leimbach Rd",
            "address_purpose": "LOCATION",
            "city": "Saegertown",
            "state": "PA",
            "postal_code": "164336826",
            "country_code": "US",
            "telephone_number": "814-853-9112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AH WONG",
        "first_name": "KATHRYN",
        "middle_name": "KELLIE",
        "credential": "M.A., L.P.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-07",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC006879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meadville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; 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.