Individual provider Active NPI

Mary Ann Erwin, MFT, CSAC,

  • Marriage & Family Therapist
  • Honolulu, HI
National Provider Identifier
1033568894
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
429 Issued in HI
Practice address
1128 Pueo St
Honolulu, HI 96816-5120
Phone
(808) 927-0755
NPI assigned
Jun 11, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 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 1763-13 HI
Marriage & Family Therapist 106H00000X 429 HI Primary

Addresses

Primary practice location

1128 Pueo St
Honolulu, HI 96816-5120

Mailing address

1128 Pueo St
Honolulu, HI 96816-5120
Phone (808) 927-0755

Other names 1

  • Mary Ann Millot Former name

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
I20250305001821 HI Practitioner - Marriage and Family Therapist 3375064454 Reassigns benefits to 1 organization
Practice locations: Kaneohe, HI; Honolulu, HI

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Honolulu, HI 96816
Phone (808) 927-0755

1128 Pueo St
Honolulu, HI 96816-5120

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1763-13HIMDAddiction (Substance Use Disorder) Counselor
429HIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Ann Erwin MFT LLC Marriage & Family Therapist CurrentSince Jan 31, 2021 Accepting new patients
Mental Health Specialty Group PA CurrentSince Aug 1, 2025 Accepting new patients

Locations

500 Ala Moana Blvd
Ste 7400
Honolulu, HI 96813
Phone (617) 823-6490

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": "1465603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739404800000",
    "number": "1033568894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1128 PUEO ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968165120",
            "telephone_number": "808-927-0755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1128 PUEO ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968165120",
            "telephone_number": "808-927-0755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERWIN",
        "first_name": "MARY",
        "middle_name": "ANN",
        "credential": "MFT, CSAC,",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-11",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "HI",
            "license": "1763-13",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "HI",
            "license": "429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "MILLOT",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.