Active NPI
Sandy Wong, LPC
- Professional Counselor
- Houston, TX
National Provider Identifier
1801906367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 19122
- Practice address
- 401 Branard St
2ND Floor
Houston, TX 77006 - Phone
- (713) 529-0037
- Fax
- (713) 526-4367
- NPI assigned
- Aug 30, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor | 101YP2500X | |||
| Professional Counselor | 101YP2500X | 19122 | TX | Primary |
Addresses
Primary practice location
401 Branard St
2ND Floor
Houston, TX 77006
Mailing address
401 Branard St
2ND Floor
Houston, TX 77006
Phone (713) 529-0037
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1694053-01 | Medicaid | TX | |
| 169485302 | Medicaid | TX |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19122 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Montrose Center | Professional | Past | Accepting new patients |
| Montrose Counseling Center, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Houston, TX
- NPI 1255652855
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1241136000000",
"number": "1801906367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 BRANARD ST",
"address_2": "2ND FLOOR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77006",
"telephone_number": "713-529-0037",
"fax_number": "713-526-4367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 BRANARD ST",
"address_2": "2ND FLOOR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77006",
"telephone_number": "713-529-0037",
"fax_number": "713-526-4367"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WONG",
"first_name": "SANDY",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-30",
"last_updated": "2009-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "19122",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1694053-01",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "169485302",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.