Davine Counseling Services, LLC

Organization Active NPI Community/Behavioral Health Agency · Kapolei, HI

NPI 1316601800 · NPPES record last updated Sep 5, 2024

Key facts

NPI: 1316601800
Entity type: Organization (NPI type 2)
Primary specialty: Community/Behavioral Health Agency 251S00000X
Legal business name: DAVINE COUNSELING SERVICES, LLC
Practice address: 590 Farrington Highway #524-132
Kapolei, HI 96707-2034
Phone: (808) 207-0637
Fax: (626) 565-2087
NPI assigned: Oct 29, 2021
Organization subpart: No

Authorized official

Name: Jessica Wong, LCSW NPI 1629622576
Title: LCSW/Therapist
Phone: (808) 207-0637

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Jessica Johanna Nalani Wong, LCSW Clinical Social Worker · Waianae, HI · NPI 1629622576

Medicare reassignment NPD Authorized official HI

Medicare participation

Medicare fee-for-service enrollment: Enrolled in HI

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20211116002811	HI	Part B Supplier - Clinic/Group Practice	2668861428	Receives reassigned benefits from 1 practitioner Practice locations: Waianae, HI

National Provider Directory

Locations

46-005 Kawa St
Ste 308
Kaneohe, HI 96744
Phone (808) 207-0637

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Community/Behavioral Health Agency	251S00000X			Yes

Addresses

Primary practice location

590 Farrington Highway #524-132
Kapolei, HI 96707-2034

Mailing address

PO Box 13056
Aiea, HI 96701-8556
Phone (808) 207-0637

Other providers in Kapolei, HI

All providers in Kapolei, HI · Community/Behavioral Health Agency in Hawaii

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 5, 2024. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.