ANGELA HAI WEN LI
NPI 1326740655
Counselor - Mental Health in San Jose, CA

Q: What is Angela Li's NPI number?

The NPI number for Angela Li is 1326740655. It was assigned to this individual provider in the NPPES registry on March 20, 2023.

Q: What is Angela Li's specialty?

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

Q: Is Angela Li enrolled in Medicare?

No. Angela Li has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Angela Li was last updated on March 20, 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.

Active since March 20, 2023Opted out of Medicare · through Jan 1, 2028

3880 S BASCOM AVE STE 202, SAN JOSE, CA 95124(408) 369-2272 Get Directions Write a Review

NPPES record last updated: March 20, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Angela Hai Wen Li NPPES

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

ANGELA HAI WEN LI (NPI 1326740655) is an individual mental health provider in San Jose, California, licensed in California (138355) and active in the NPI registry since March 2023. She has opted out of Medicare through January 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1326740655

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameANGELA HAI WEN LI

Location Address3880 S BASCOM AVE STE 202San Jose, CA 95124-2675

Mailing Address3880 S Bascom Ave Ste 202San Jose, CA 95124-2675 · (408) 369-2272

Phone(408) 369-2272

Sole ProprietorYes

Enumeration DateMarch 20, 2023

NPPES CertifiedMarch 20, 2023

✔ NPI 1326740655 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 CA · 138355

3880 S BASCOM AVE STE 202, San Jose, CA 95124

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Angela Hai Wen Li has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024

Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTINE LEE

Counselor (Mental Health)