Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lisa Susann Wong

Individual provider Mental Health Counselor · NPI 1396298667

Lisa Susann Wong is a Marriage and Family Therapist in Pasadena, California. Qualified in 1997, 29 years ago. Practices with Heritage Clinic and the Community Assistance Program for Seniors, a 17-clinician group and offers telehealth. Licensed in California.

Years since qualifying
29
Licensed in
CA
In the registry since
2016
Specialties on file
3
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Practice location Address checks out

447 N El Molino Ave
Pasadena, CA 91101-1403
Phone: (626) 577-8480
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X
Mental Health Counselor Taxonomy 101YM0800X · Licence 72556 (CA)
Mental Health Counselor Taxonomy 101YM0800X · Licence 72666 (CA)

Record details

NPI number1396298667
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 3, 2016
Last updated in NPPESJanuary 25, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Heritage Clinic And The Community Assistance Program For Seniors — 17 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

Other providers in Pasadena