MS. JASMINE S WONG – Mental Health Counselor, NPI 1902941511

MS. JASMINE S WONG is a healthcare provider. based in Kahului, Hawaii. specializing in Mental Health Counselor. They hold a License No. LCSW-4437 (HI). The NPI Number for MS. JASMINE S WONG is 1902941511

Main info

Female
Sole Proprietor
17 Years Of Experience
Accepts Medicare Assignment
Name
MS. JASMINE S WONG
NPI
1902941511
Phone
(530) 383-1284
Address
332 HOLUA DR
Enumeration Date
21 February 2007
Last Update Date
8 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8082492121
Graduation Year
2009 (17 years ago)
PAC ID
7416289905
Group Practice PAC ID
8426948316
Professional Enrollment ID
I20191102000378
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for MS. JASMINE S WONG

  • 332 HOLUA DR

    KAHULUI, HI 967321504

    Phone: (530) 383-1284

    Type: Mailing

  • 270 WAIEHU BEACH RD

    WAILUKU, HI 967931472

    Phone: (808) 242-7294

    Fax: (808) 242-7296

    Type: Location

  • 345 HOAKA RD

    HILO, HI 967203505

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-11-02

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20191102000378IClinical Social WorkerHITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 96732)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8426948316View full group profile
NameSpecialtyState
Clinical Social WorkerHI
Clinical PsychologistHI
Clinical Social WorkerHI
Clinical PsychologistHI
P S Y C H I A T R YAZ
Clinical Social WorkerHI
Marriage And Family TherapistCA
Nurse PractitionerHI
Clinical Social WorkerHI
Clinical Social WorkerHI

Reviews

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Frequently asked questions

Does MS. JASMINE S WONG share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MS. JASMINE S WONG uses 1902941511.
Is MS. JASMINE S WONG listed as active for patients and plans?
The listing shows MS. JASMINE S WONG as active in the NPI system.
What is MS. JASMINE S WONG best known for clinically?
Directory data describes MS. JASMINE S WONG with Mental Health Counselor. Clinical services aligned with this taxonomy classification.
What area does MS. JASMINE S WONG serve?
MS. JASMINE S WONG's listing highlights Kahului, Hawaii; more addresses can appear in NPPES.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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