JESSICA LYNN KAMANU
NPI 1639918543
Counselor - Professional in Wexford, PA

Active since May 21, 2024PECOS Enrolled
117 VIP DR STE 310, WEXFORD, PA 15090(724) 934-3905 Get Directions Write a Review

NPPES record last updated: August 18, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jessica Lynn Kamanu NPPES

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

JESSICA LYNN KAMANU (NPI 1639918543) is an individual professional provider in Wexford, Pennsylvania, licensed in Pennsylvania (PC020815) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1639918543
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJESSICA LYNN KAMANU
Location Address117 VIP DR STE 310Wexford, PA 15090-6936
Mailing Address117 Vip Dr Ste 310Wexford, PA 15090-6936 · (724) 934-3905
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMay 21, 2024
Last NPPES UpdateAugust 18, 2026
NPPES CertifiedAugust 18, 2026
✔ NPI 1639918543 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in PA · PC020815
117 VIP DR STE 310, Wexford, PA 15090

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Lynn Kamanu is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6204396898
PECOS Enrollment IDI20260902003433
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 Jessica Kamanu reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health (Including Community Mental Health Center)
110 HIDDEN VALLEY RD
Mc Murray, PA 15317
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 223 clinicians in this Medicare group

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

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.

Psychologist (Clinical)
117 VIP DR STE 310
WEXFORD, PA 15090
Psychologist
117 VIP DR STE 310
WEXFORD, PA 15090
Social Worker (Clinical)
117 VIP DR STE 310
WEXFORD, PA 15090
Counselor (Mental Health)
117 VIP DR STE 310
WEXFORD, PA 15090
Dietitian, Registered
117 VIP DR STE 310
WEXFORD, PA 15090
Counselor (Mental Health)
117 VIP DR STE 310
WEXFORD, PA 15090
Psychologist
117 VIP DR STE 310
WEXFORD, PA 15090
Counselor (Professional)
117 VIP DR STE 310
WEXFORD, PA 15090

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 Jessica Kamanu's NPI number?

The NPI number for Jessica Kamanu is 1639918543. It was assigned to this individual provider in the NPPES registry on May 21, 2024.

Where is Jessica Kamanu located?

Jessica Kamanu practices at 117 Vip Dr Ste 310, Wexford, PA 15090. The listed phone number is (724) 934-3905.

What is Jessica Kamanu's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Jessica Kamanu enrolled in Medicare?

Yes. Jessica Kamanu is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jessica Kamanu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Kamanu reassigns Medicare benefits to New Directions Mental Health, PC (Mc Murray, PA). 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 Jessica Kamanu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jessica Kamanu was last updated on August 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.