Organization Active NPI

Ku Aloha Ola Mau

  • Counselor
  • Hilo, HI
National Provider Identifier
1003983172
Registry record updated Aug 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
KU ALOHA OLA MAU
Practice address
900 Leilani St
Hilo, HI 96720
Phone
(808) 961-6822
NPI assigned
Nov 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2007

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

Authorized official

Name
Ms. Lisa Cook, LSW ASCW
Title
Executive Director
Phone
(808) 538-0704

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X Primary

Addresses

Primary practice location

900 Leilani St
Hilo, HI 96720

Mailing address

1130 N Nimitz Hwy
C302
Honolulu, HI 96817
Phone (808) 538-0704

Other identifiers 1

IdentifierTypeStateIssuer
509218-02MedicaidHI

Other names 1

  • Drug Addiction Services of Hawaii Inc Former legal business name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
12D2229860Ku Aloha Ola Mau900 Leilani Street, Hilo, HI 96720Certificate of waiverJul 15, 2027

National Provider Directory

National Provider Directory
Tax ID family
Drug Addiction Services of Hawaii Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1130 N Nimitz Hwy
Rm C302
Honolulu, HI 96817
Phone (808) 538-0704

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185926400000",
    "number": "1003983172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 N NIMITZ HWY",
            "address_2": "C302",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "96817",
            "telephone_number": "808-538-0704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 LEILANI ST",
            "city": "HILO",
            "state": "HI",
            "postal_code": "96720",
            "telephone_number": "808-961-6822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KU ALOHA OLA MAU",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2007-08-01",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "808-538-0704",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LSW ASCW"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "509218-02",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Drug Addiction Services of Hawaii Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Hilo, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.