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AJA JEANETTE WALLACE LMHC
NPI 1306406228
Counselor - Mental Health in Honolulu, HI

Active since June 13, 2019PECOS Enrolled
447 MANANAI PL APT T, HONOLULU, HI 96818(808) 725-7519 Get Directions Write a Review

NPPES record last updated: May 15, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 15, 2023, Jun 13, 2019 (2 updates tracked since 2019).

About Aja Jeanette Wallace Lmhc NPPES

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

AJA JEANETTE WALLACE LMHC (NPI 1306406228) is an individual mental health provider in Honolulu, Hawaii, licensed in Hawaii (MHC648) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306406228
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameAJA JEANETTE WALLACECredential: LMHC
Location Address447 MANANAI PL APT THonolulu, HI 96818-1872
Mailing Address447 Mananai Pl Apt THonolulu, HI 96818-1872 · (808) 725-7519
Phone(808) 725-7519
Sole ProprietorYes
Enumeration DateJune 13, 2019
Last NPPES UpdateMay 15, 20232 updates tracked since enumeration
NPPES CertifiedMay 15, 2023
✔ NPI 1306406228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in HI · MHC648
447 MANANAI PL APT T, Honolulu, HI 96818
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HMSA.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Aja Jeanette Wallace Lmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Aja Wallace reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Wellness Partners Hawaii Inc
15 mi
Psychiatric/Mental Health
6700 KALANIANAOLE HWY STE 201
Honolulu, HI 96825
  • Reassigned Medicare billing, Hawaii enrollment
  • 28 clinicians in this Medicare group
NPI 1609382340 (808) 379-6656

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Aja Wallace's NPI number?

The NPI number for Aja Wallace is 1306406228. It was assigned to this individual provider in the NPPES registry on June 13, 2019.

Where is Aja Wallace located?

Aja Wallace practices at 447 Mananai Pl Apt T, Honolulu, HI 96818. The listed phone number is (808) 725-7519.

What is Aja Wallace's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Aja Wallace enrolled in Medicare?

Yes. Aja Wallace is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Aja Wallace's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Aja Wallace reassigns Medicare benefits to Wellness Partners Hawaii Inc (Honolulu, HI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Aja Wallace's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Aja Wallace accept?

Health plans from HMSA list Aja Wallace as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Aja Wallace was last updated on May 15, 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.