JOHANNA L PARK, LMHC (NPI# 1093252124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093252124 |
| Entity Type | Organization |
| Organization Name | JOHANNA L PARK, LMHC |
| Practice Address |
399 E Kawili St Suite 202 Hilo HI 96720-5075 |
| Mailing Address |
Po Box 6111 Kamuela HI 96743-6111 |
| Practice Telephone | 8083151432 |
| Mailing Telephone | 8083151432 |
| Enumeration Date | 2017-01-27 |
| Last Update Date | 2017-01-27 |
| Authorized Official Name | JOHANNA LYNN PARK (OWNER) |
| Authorized Official Telephone | 8083151432 |
| Authorized Official Credential | LMHC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | LMHC 427 | HI | Agencies |
| Street Address |
399 E KAWILI ST SUITE 202 |
| City | HILO |
| State | HI |
| Zip Code | 96720-5075 |
| 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 | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841794807 | Ke Alaula, Inc. | Community/Behavioral Health | 101 Aupuni St Ste 213, Hilo, HI 96720-4221 | 2018-03-22 |
| 1457896086 | Jonathan Moss, Caregiving | Community/Behavioral Health | 110 Alae St, Hilo, HI 96720-2507 | 2017-01-06 |
| 1033534417 | Hope Services Hawaii, Inc | Community/Behavioral Health | 1315 Kalanianaole Ave, Hilo, HI 96720-4911 | 2014-02-21 |
| 1811325434 | Wai Kahe Counseling, LLC | Community/Behavioral Health | 305 Wailuku Dr Ste 5a, Hilo, HI 96720-2488 | 2013-10-16 |
| 1740527860 | Octavia Price | Community/Behavioral Health | 34 E Kawili St, Unit 11, Hilo, HI 96720-5062 | 2013-01-09 |
| 1689857575 | Community Mental Health Center Clubhouse-hale O'luea | Community/Behavioral Health | 1045 B Kilauea Ave, Hilo, HI 96720 | 2007-12-13 |
| 1205455441 | Hannah Katherine Counseling, LLC | Community/Behavioral Health | 224 Kamehameha Ave Ste 201, Hilo, HI 96720-2860 | 2020-04-08 |
| 1710490040 | Melissa K Kanemitsu Lmft | Community/Behavioral Health | 399 E Kawili St Ste 202, Hilo, HI 96720-5075 | 2017-11-08 |
| 1265945687 | Starting Point Counseling Services | Community/Behavioral Health | 399 E Kawili St Ste 202, Hilo, HI 96720-5075 | 2017-11-07 |
| 1295276939 | Olena Counseling | Community/Behavioral Health | 308 Kamehameha Ave, Suite 211, Hilo, HI 96720-2960 | 2017-03-14 |
| Find all providers in HILO | ||||
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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.