KYLIE WONG - NPI 1508547035 - Marriage & Family Therapist in Chicago, IL

Q: What is Kylie Wong's NPI number?

The NPI number for Kylie Wong is 1508547035. It was assigned to this individual provider in the NPPES registry on July 27, 2023.

Q: What is Kylie Wong's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kylie Wong was last updated on July 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

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About Kylie Wong NPPES

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

KYLIE WONG (NPI 1508547035) is an individual marriage & family therapist in Chicago, Illinois and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1508547035

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameKYLIE WONG

Location Address53 W JACKSON BLVD STE 604Chicago, IL 60604-3448

Mailing Address1918 Orrington AveEvanston, IL 60201-2910 · (224) 432-9618

Phone(773) 242-4758

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateJuly 27, 2023

NPPES CertifiedJuly 27, 2023

✔ NPI 1508547035 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

53 W JACKSON BLVD STE 604, Chicago, IL 60604

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID7810477809

PECOS Enrollment IDI20260218001238

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.

Other Providers at the Same Location NPPES 7

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

KATHARINE LICHTER

Student in an Organized Health Care Education/Training Program