Jean M Wavrin MFT LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

JEAN M WAVRIN MFT LLC

Practice address

101 Aupuni St Ste 108
Hilo, HI 96720-4260

Phone

(808) 896-3788

NPI assigned

May 17, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Jean M Wavrin, LMFTNPI 1376868992

Title

Marriage and Family Therapist Owner

Phone

(808) 896-3788

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Jean Marie Wavrin, MFT

  • Marriage & Family Therapist
  • Keaau, HI
  • NPI 1376868992
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1715904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715904000000",
    "number": "1750130928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 2 BOX 5686",
            "city": "KEAAU",
            "state": "HI",
            "postal_code": "967499406",
            "telephone_number": "808-896-3788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 AUPUNI ST STE 108",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967204260",
            "telephone_number": "808-896-3788"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15-2901 Pahoa Village Rd",
            "address_purpose": "LOCATION",
            "city": "Pahoa",
            "state": "HI",
            "postal_code": "96778",
            "country_code": "US",
            "telephone_number": "808-896-3788",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JEAN M WAVRIN MFT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-17",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A",
        "authorized_official_last_name": "WAVRIN",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MARRIAGE AND FAMILY THERAPIST OWNER",
        "authorized_official_telephone_number": "808-896-3788",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bernard A Jarman, PH.D.
• Amanda Jarvis, LMT
• Jasmine Branco
• Fernando Orcelino Javier, M.A.
• Kiera Javillonar
• Alice Marie Jeffries, APRN
• Chelsie Jelsma
• Verda Jenkins
• Essie J Jennings, MS CCC-SLP
• Patrick Jewell, MD

• Mental Health Clinic/Center (Including Community Mental Health Center) in Hilo, HI
• Providers in Hilo, HI by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.