NPIMap

Individual provider Active NPI

Mark G White

  • Mental Health Counselor
  • Hilo, HI
National Provider Identifier
1023328564
Registry record updated Jan 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
496 Issued in HI
Practice address
15 Kanoa St
Hilo, HI 96720-2426
Phone
(808) 430-3111
NPI assigned
Oct 18, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Mental Health Counselor 101YM0800X 496 HI Primary

Addresses

Primary practice location

15 Kanoa St
Hilo, HI 96720-2426

Mailing address

15 Kanoa St
Hilo, HI 96720-2426
Phone (808) 430-3111

Other practice location 1

222 Tongass Dr
Sitka, AK 99835-9416
Phone (907) 966-8767

Other practice location 2

15 Kanoa St
Hilo, HI 96720-2426
Phone (808) 430-3111

Other practice location 3

224 Kamehameha Ave
Hilo, HI 96720-2860
Phone (970) 560-1827

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
496HIMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Quest Corporation PastSince Aug 6, 2019 Accepting new patients
Pacific Quest PastSince Aug 6, 2019 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1287360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641513600000",
    "number": "1023328564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 KANOA ST",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202426",
            "telephone_number": "808-430-3111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 KANOA ST",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202426",
            "telephone_number": "808-430-3111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "222 Tongass Dr",
            "address_purpose": "LOCATION",
            "city": "Sitka",
            "state": "AK",
            "postal_code": "998359416",
            "country_code": "US",
            "telephone_number": "907-966-8767",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15 Kanoa St",
            "address_purpose": "LOCATION",
            "city": "Hilo",
            "state": "HI",
            "postal_code": "967202426",
            "country_code": "US",
            "telephone_number": "808-430-3111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "224 Kamehameha Ave",
            "address_purpose": "LOCATION",
            "city": "Hilo",
            "state": "HI",
            "postal_code": "967202860",
            "country_code": "US",
            "telephone_number": "970-560-1827",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITE",
        "first_name": "MARK",
        "middle_name": "G",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-18",
        "last_updated": "2022-01-07",
        "certification_date": "2022-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "HI",
            "license": "496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 7, 2022; 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.