Yoshie Wong, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LF 00001293 Issued in WA

Practice address

673 Woodland Square Loop SE Ste 330
Lacey, WA 98503-1066

Phone

(888) 364-5977

Fax

(360) 628-5240

NPI assigned

Aug 27, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Pamela Yoshie Wong Former name

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

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 and National Provider Directory roles.

• Emily Program PC

  • Community/Behavioral Health Agency
  • Seattle, WA
  • NPI 1154696698
  Medicare reassignment NPD
• Emily Program P C

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • St Paul, MN
  • NPI 1528165065
  NPD

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

{
    "created_epoch": "1472256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472256000000",
    "number": "1790231108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "673 WOODLAND SQUARE LOOP SE STE 330",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985031066",
            "telephone_number": "888-364-5977",
            "fax_number": "360-628-5240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "673 WOODLAND SQUARE LOOP SE STE 330",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985031066",
            "telephone_number": "888-364-5977",
            "fax_number": "360-628-5240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "YOSHIE",
        "name_prefix": "Ms.",
        "credential": "MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-27",
        "last_updated": "2016-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "LF 00001293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "WONG",
            "middle_name": "YOSHIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Aaron J Wittenberg
• WJR Health LTD
• Alex Wojcik
• Jaxon Grey Wokas, LSWAIC
• Nicole Kimberly Wolf
• Alaisa Leeann Wood
• Cassandra D Wood
• Christine Wood
• Woodland Creek Physical Therapy LLC
• Kaitlyn Woodson

• Marriage & Family Therapist in Lacey, WA
• Providers in Lacey, WA by specialty
• Marriage & Family Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2016; 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.