Cheryl Jorgensen LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CHERYL JORGENSEN LLC

Practice address

688 Kinoole St Ste 218a
Hilo, HI 96720-3869

Phone

(808) 935-9396

Fax

(808) 207-6543

NPI assigned

Oct 26, 2021

Organization subpart

No

Name

Cheryl Jorgensen, LMHCNPI 1114207156

Title

Member

Phone

(808) 935-9396

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

• Cheryl Jorgensen, LMHC

  • Mental Health Counselor
  • Hilo, HI
  • NPI 1114207156

  HI

  Medicare reassignment NPD Authorized official

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 26, 2021.

{
    "created_epoch": "1635206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635206400000",
    "number": "1033873005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "688 KINOOLE ST STE 218A",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967203869",
            "telephone_number": "808-935-9396",
            "fax_number": "808-207-6543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "688 KINOOLE ST STE 218A",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967203869",
            "telephone_number": "808-935-9396",
            "fax_number": "808-207-6543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHERYL JORGENSEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-26",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A",
        "authorized_official_last_name": "JORGENSEN",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "808-935-9396",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Hilo, HI
• Community/Behavioral Health Agency in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.