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JAZMIN MENDOZA
NPI 1790617678
Counselor - Mental Health in Moses Lake, WA

Active since June 02, 2026PECOS Enrolled
605 S COOLIDGE ST, MOSES LAKE, WA 98837(509) 765-0674 Get Directions Write a Review

NPPES record last updated: June 2, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jazmin Mendoza NPPES

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

JAZMIN MENDOZA (NPI 1790617678) is an individual mental health provider in Moses Lake, Washington, licensed in Washington (MHCA.MC.70084674) and active in the NPI registry since June 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2026).

NPPES Registry Identity

NPI1790617678
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJAZMIN MENDOZA
Location Address605 S COOLIDGE STMoses Lake, WA 98837-1873
Mailing Address605 S Coolidge StMoses Lake, WA 98837-1873 · (509) 765-0674
Phone(509) 765-0674
Sole ProprietorNo
Medical School CMSOtherGraduated 2026
Enumeration DateJune 2, 2026
NPPES CertifiedJune 2, 2026
✔ NPI 1790617678 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 WA · MHCA.MC.70084674
605 S COOLIDGE ST, Moses Lake, WA 98837
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jazmin Mendoza is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2567920663
PECOS Enrollment IDI20260819001580
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 Jazmin Mendoza reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Moses Lake Community Health Center
Same address
Federally Qualified Health Center (FQHC)
605 S COOLIDGE ST
Moses Lake, WA 98837
  • Reassigned Medicare billing, Washington enrollment
  • 134 clinicians in this Medicare group
NPI 1699862813 (509) 765-0674

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.

MOSES LAKE COMMUNITY HEALTH CENTER
Clinic/Center (Federally Qualified Health Center (FQHC))
605 S COOLIDGE ST
MOSES LAKE, WA 98837
Grant County (509) 764-0674
FRANCIE TROWBRIDGE ARNP
Nurse Practitioner
605 S COOLIDGE ST
MOSES LAKE, WA 98837
Grant County (509) 765-0674
DR. SEAN BARRY COLLETTE D.D.S.
Dentist
605 S COOLIDGE ST
MOSES LAKE, WA 98837
Grant County (509) 765-0674
MANUEL FELIPE PRIETO DDS
Dentist
605 S COOLIDGE ST
MOSES LAKE, WA 98837
Grant County (509) 765-0674
CHLOE NOEL KESTERSON PA-C
Physician Assistant
605 S COOLIDGE ST
MOSES LAKE, WA 98837
Grant County (509) 765-0674
ANDREW PAULLIN JOHNSON D.M.D.
Dentist
605 S COOLIDGE ST
MOSES LAKE, WA 98837
Grant County (509) 765-0674
MATTHEW HARDY M.S., D.O.
Family Medicine
605 S COOLIDGE ST
MOSES LAKE, WA 98837
Grant County (509) 765-0674
CHRISTY CRAIGO
Case Manager/Care Coordinator
605 S COOLIDGE ST
MOSES LAKE, WA 98837
Grant County (509) 765-0674

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 Jazmin Mendoza's NPI number?

The NPI number for Jazmin Mendoza is 1790617678. It was assigned to this individual provider in the NPPES registry on June 2, 2026.

Where is Jazmin Mendoza located?

Jazmin Mendoza practices at 605 S Coolidge St, Moses Lake, WA 98837. The listed phone number is (509) 765-0674.

What is Jazmin Mendoza's specialty?

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

Is Jazmin Mendoza enrolled in Medicare?

Yes. Jazmin Mendoza is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jazmin Mendoza's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jazmin Mendoza reassigns Medicare benefits to Moses Lake Community Health Center (Moses Lake, WA). 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 Jazmin Mendoza'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 Jazmin Mendoza was last updated on June 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.