1. Home
  2. Directory
  3. California
  4. Pasadena
  5. Marriage Family Therapist
  6. NPI Profile

LISA SUSANN WONG
NPI 1396298667
Marriage & Family Therapist in Pasadena, CA

Active since August 03, 2016PECOS Enrolled
447 N EL MOLINO AVE, PASADENA, CA 91101(626) 577-8480 Get Directions Write a Review

NPPES record last updated: January 25, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Lisa Susann Wong NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISA SUSANN WONG (NPI 1396298667) is an individual marriage & family therapist in Pasadena, California and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS and is a graduate of Other (1997).

NPPES Registry Identity

NPI1396298667
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameLISA SUSANN WONG
Location Address447 N EL MOLINO AVEPasadena, CA 91101-1403
Mailing Address447 N El Molino AvePasadena, CA 91101-1403
Phone(626) 577-8480
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateAugust 3, 2016
Last NPPES UpdateJanuary 25, 2019
✔ NPI 1396298667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 72556 (CA), 72666 (CA)
447 N EL MOLINO AVE, Pasadena, CA 91101
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lisa Susann Wong is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4183067168
PECOS Enrollment IDI20240206004487
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Lisa Wong reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Heritage Clinic And The Community Assistance Program For Seniors
2.5 mi
Clinical
253 N SAN GABRIEL BLVD STE 100
Pasadena, CA 91107
  • Reassigned Medicare billing, California enrollment
  • 20 clinicians in this Medicare group
NPI 1306899091 (626) 577-8480

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 30 minutes 90832
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
58 services11 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
39 services39 patients

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DEIDRA RENEE NEWVILLE
Counselor
447 N EL MOLINO AVE
PASADENA, CA 91101
Los Angeles County (626) 577-8480
JASMINE RIVAS
Community Health Worker
447 N EL MOLINO AVE
PASADENA, CA 91101
Los Angeles County (626) 577-8480
RACHEL SCOON
Community Health Worker
447 N EL MOLINO AVE
PASADENA, CA 91101
Los Angeles County (626) 577-8480
VERNEE ALEXIS ANTHONY
Student in an Organized Health Care Education/Training Program
447 N EL MOLINO AVE
PASADENA, CA 91101
Los Angeles County (626) 577-8480
CHASE YEATMAN M.A.
Student in an Organized Health Care Education/Training Program
447 N EL MOLINO AVE
PASADENA, CA 91101
Los Angeles County (626) 577-8480
MS. ERICA MARIE HIPP
Social Worker
447 N EL MOLINO AVE
PASADENA, CA 91101
Los Angeles County (626) 577-8480
JENNIFER SMITH
Psychologist
447 N EL MOLINO AVE
PASADENA, CA 91101
Los Angeles County (626) 577-8480
MS. TSELANE L. GARDNER MA, MFT
Rehabilitation Counselor
447 N EL MOLINO AVE
PASADENA, CA 91101
Los Angeles County (626) 577-8480

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Wong's NPI number?

The NPI number for Lisa Wong is 1396298667. It was assigned to this individual provider in the NPPES registry on August 3, 2016.

Where is Lisa Wong located?

Lisa Wong practices at 447 N El Molino Ave, Pasadena, CA 91101. The listed phone number is (626) 577-8480.

What is Lisa Wong's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Lisa Wong enrolled in Medicare?

Yes. Lisa Wong is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Lisa Wong's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Wong reassigns Medicare benefits to Heritage Clinic And The Community Assistance Program For Seniors (Pasadena, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lisa Wong's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Lisa Wong was last updated on January 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.