DR. JACOB O WASONGA PH.D, LMFT
NPI 1861043713
Marriage & Family Therapist in Fort Worth, TX

Active since September 23, 2019PECOS Enrolled
1124 GALVESTON AVE STE B, FORT WORTH, TX 76104(210) 420-8117 Get Directions Write a Review

NPPES record last updated: December 14, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 14, 2020, Sep 23, 2019 (2 updates tracked since 2019).

About Dr. Jacob O Wasonga Ph.d, Lmft NPPES

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

DR. JACOB O WASONGA PH.D, LMFT (NPI 1861043713) is an individual marriage & family therapist in Fort Worth, Texas, licensed in Texas (203024) and active in the NPI registry since September 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861043713
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameDR. JACOB O WASONGACredential: PH.D, LMFT
Location Address1124 GALVESTON AVE STE BFort Worth, TX 76104-4878
Mailing AddressPo Box 592732San Antonio, TX 78259-0186 · (817) 609-2289
Sole ProprietorYes
Enumeration DateSeptember 23, 2019
Last NPPES UpdateDecember 14, 20202 updates tracked since enumeration
NPPES CertifiedDecember 14, 2020
NPI 1861043713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License Licensed in TX · 203024
Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

1124 GALVESTON AVE STE B, Fort Worth, TX 76104

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Jacob O Wasonga Ph.d, Lmft 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.

Other Providers at the Same Location NPPES

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

Marriage & Family Therapist
1124 GALVESTON AVE STE B
FORT WORTH, TX 76104

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 Jacob Wasonga's NPI number?

The NPI number for Jacob Wasonga is 1861043713. It was assigned to this individual provider in the NPPES registry on September 23, 2019.

Where is Jacob Wasonga located?

Jacob Wasonga practices at 1124 Galveston Ave Ste B, Fort Worth, TX 76104. The listed phone number is (210) 420-8117.

What is Jacob Wasonga's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Jacob Wasonga enrolled in Medicare?

Yes. Jacob Wasonga is registered in the Medicare PECOS enrollment system.

What insurance does Jacob Wasonga accept?

Health plans from Blue Cross and Blue Shield of Texas, Oscar Insurance Company, UnitedHealthcare and WellPoint list Jacob Wasonga 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 Jacob Wasonga was last updated on December 14, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.