Individual provider Active NPI

Holly Kamana, LMHC, CSAC

  • Mental Health Counselor
  • Wailuku, HI
National Provider Identifier
1003777673
Registry record updated Nov 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MHC-1170 Issued in HI
Practice address
270 Hookahi St Ste 211
Wailuku, HI 96793-1466
Phone
(808) 866-0393
NPI assigned
Nov 21, 2025
Last updated
Nov 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 2069-19 HI
Mental Health Counselor 101YM0800X MHC-1170 HI Primary

Addresses

Primary practice location

270 Hookahi St Ste 211
Wailuku, HI 96793-1466

Mailing address

270 Hookahi St Ste 211
Wailuku, HI 96793-1466

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260203002150 HI Practitioner - Mental Health Counselor 9638657398 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

21 Ka Dr
Kula, HI 96790-8503

PO Box
Suite 1492
Makawao, HI 96768

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2069-19HIMDAddiction (Substance Use Disorder) Counselor
MHC-1170HIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Counseling Group, LLC CurrentSince Dec 21, 2025 Accepting new patients

Locations

270 Hookahi St
Ste 212
Wailuku, HI 96793
Phone (808) 249-2213

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1763683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763683200000",
    "number": "1003777673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 HOOKAHI ST STE 211",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967931466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 HOOKAHI ST STE 211",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967931466",
            "telephone_number": "808-866-0393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMANA",
        "first_name": "HOLLY",
        "credential": "LMHC, CSAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-11-21",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "HI",
            "license": "2069-19",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "HI",
            "license": "MHC-1170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wailuku, HI

Sources for this page

Verify at the official NPI Registry.