KA HOKU KAI COUNSELING CENTER, LLC (NPI# 1043859200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043859200 |
| Entity Type | Organization |
| Organization Name | KA HOKU KAI COUNSELING CENTER, LLC |
| Practice Address |
166 Kamehameha Ave Ste 1 Hilo HI 96720-2857 |
| Mailing Address |
Po Box 711570 Mountain View HI 96771-1570 |
| Practice Telephone | 8083454863 |
| Mailing Telephone | 8083454863 |
| Enumeration Date | 2020-01-05 |
| Last Update Date | 2020-01-05 |
| Authorized Official Name | DR. JESSICA ELIZABETH-ROSE CARROLL (CLINICAL PSYCHOLOGIST) |
| Authorized Official Telephone | 8083454863 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
| Street Address |
166 KAMEHAMEHA AVE STE 1 |
| City | HILO |
| State | HI |
| Zip Code | 96720-2857 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184230807 | Iane Dantas Franca | Counselor | 1045 Kilauea Avenue, Hilo, HI 96720 | 2020-09-17 |
| 1467086280 | Integrated Medicine Institute, Inc. | Nurse Practitioner | 868 Ululani Street Suite 106, Hilo, HI 96720 | 2020-03-02 |
| 1316405004 | Stephanie M Higa | Registered Nurse | Hc01 Stainback Hwy., Hilo, HI 96720 | 2019-03-12 |
| 1790257418 | Blake Honda | Behavior Technician | 879b Manono St., Hilo, HI 96720 | 2018-12-19 |
| 1184101446 | The Salvation Army | Substance Abuse Rehabilitation Facility | 105 Hokulani Street, Hilo, HI 96720 | 2018-07-19 |
| 1013434505 | Taliesin Erika Kiele Sumner | Student in an Organized Health Care Education/Training Program | 214 Waianueanue Ave., #209, Hilo, HI 96720 | 2017-08-24 |
| 1154844454 | David Fundakowski | Behavioral Analyst | 69 Railroad Avenue, Hawaii Behavioral Health, Hilo, HI 96720 | 2017-07-19 |
| 1407381668 | Veronica Brockway | Counselor | 69 Railroad Ave Ste 3, Hilo, HI 96720 | 2017-04-25 |
| 1477092682 | Frederique Montpetit | Student in an Organized Health Care Education/Training Program | 1257 Kilauea Ave Suite 100, Hilo Family Dental Center, Hilo, HI 96720 | 2017-02-21 |
| 1427592666 | Amber Kainoa Arthur | Behavioral Analyst | 234 Waianuenue Ave. Suite 215, Hilo, HI 96720 | 2016-12-07 |
| Find all providers in zip 96720 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043745532 | Elemental Guidance LLC | Clinic/Center | 260 Kamehameha Ave, Hilo, HI 96720-2859 | 2017-04-22 |
| 1841650082 | Big Island Teen Counseling Center LLC | Clinic/Center | 224 Kamehameha Ave, Suite 206, Hilo, HI 96720-2860 | 2016-03-01 |
| 1649464355 | Bearden Psychological Services LLC | Clinic/Center | 101 Aupuni St, Suite 1014 A-2, Hilo, HI 96720-4246 | 2007-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932583978 | Rong Rong Enterprise L.L.C. | Clinic/Center | 377 Keahole Street, E211-d, Honolulu, HI 96825-0868 | 2015-07-18 |
| 1427510858 | Okupu LLC | Clinic/Center | 1221 Kapiolani Blvd Ste 248, Honolulu, HI 96814-3506 | 2019-04-04 |
| 1184139156 | Rising Behavioral Health Consulting, LLC | Clinic/Center | 41-038 Wailea St Ste C, Waimanalo, HI 96795-1671 | 2017-12-12 |
| 1245758549 | Josephine P. Horita, D.o. LLC | Clinic/Center | 4211 Waialae Ave Ste 208, Honolulu, HI 96816-5312 | 2017-09-07 |
| 1306361241 | Kahala Clinic Intensive Treatment Program | Clinic/Center | 4211 Waialae Ave Ste 208, Honolulu, HI 96816-5312 | 2017-08-12 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.