Individual provider Active NPI

Gerilyn Julian

  • Counselor
  • Waipahu, HI
National Provider Identifier
1033688437
Registry record updated Feb 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
94-637 Kahakea St Apt 3L
Waipahu, HI 96797-1149
Phone
(808) 782-6056
NPI assigned
Nov 15, 2018
Last updated
Feb 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary
Behavior Technician 106S00000X RBT-19-75327 HI

Addresses

Primary practice location

94-637 Kahakea St Apt 3L
Waipahu, HI 96797-1149

Mailing address

94-637 Kahakea St Apt 3L
Waipahu, HI 96797-1149
Phone (808) 782-6056

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
I20250930004041 HI Practitioner - Mental Health Counselor 7012413941 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Suite 788
Kaneohe, HI 96744

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RBT-19-75327HIMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Imua Health Group, LLC CurrentSince Aug 1, 2025 Accepting new patients
Imua Heart PastSince Jul 2, 2023 Accepting new patients

Locations

99-080 Kauhale St
Ste C20
Aiea, HI 96701
Phone (808) 320-1025

99-080 Kauhale St
Ste C20
Aiea, HI 96701
Phone (808) 320-1025

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, 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": "1542240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738972800000",
    "number": "1033688437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94-637 KAHAKEA ST APT 3L",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967971149",
            "telephone_number": "808-782-6056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-637 KAHAKEA ST APT 3L",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967971149",
            "telephone_number": "808-782-6056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JULIAN",
        "first_name": "GERILYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-15",
        "last_updated": "2025-02-08",
        "certification_date": "2025-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "HI",
            "license": "RBT-19-75327",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waipahu, HI

Sources for this page

Verify at the official NPI Registry.