Tina Marie Drake, CSAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

3050-22 Issued in HI

Practice address

65-1190 Mamalahoa Hwy
Kamuela, HI 96743-8431

Phone

(808) 887-6460

Fax

(808) 885-4126

NPI assigned

Dec 23, 2025

Last updated

Dec 23, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1766448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766448000000",
    "number": "1013873843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1816",
            "city": "HONOKAA",
            "state": "HI",
            "postal_code": "967271816",
            "telephone_number": "808-887-6460",
            "fax_number": "808-885-4126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65-1190 MAMALAHOA HWY",
            "city": "KAMUELA",
            "state": "HI",
            "postal_code": "967438431",
            "telephone_number": "808-887-6460",
            "fax_number": "808-885-4126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAKE",
        "first_name": "TINA",
        "middle_name": "MARIE",
        "credential": "CSAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-23",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "HI",
            "license": "3050-22",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David T Doi, DDS
• Dorothy Ann Dolhanty, MD
• Gesine Dommer
• Aimee D Donoho
• Amanda Drake, RN
• Azriel Dror
• Duerler, Inc. (Mango Medical)
• Tiare Kaleinani Easley, PA-C
• Embodied With Anna, Inc.
• Gail Denley Emerson, PT

• Addiction (Substance Use Disorder) Counselor in Kamuela, HI
• Providers in Kamuela, HI by specialty
• Addiction (Substance Use Disorder) Counselor in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.