Individual provider Active NPI

Diane K Guidici, MFT, MIN.

  • Pastoral Counselor
  • Kapa'a, HI
National Provider Identifier
1043510191
Registry record updated Jun 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pastoral CounselorTaxonomy code 101YP1600X
License
HI 2012-02432 Issued in HI
Practice address
341 Nana PL # 1
Kapaa, HI 96746-1369
Phone
(808) 821-1940
NPI assigned
Oct 22, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFT 21066 CA
Pastoral Counselor 101YP1600X HI 2012-02432 HI Primary

Addresses

Primary practice location

341 Nana PL # 1
Kapaa, HI 96746-1369

Mailing address

341 Nana PL # 1
Kapaa, HI 96746-1369
Phone (808) 821-1940

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
HI 2012-02432HIMDPastoral Counselor
MFT 21066CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1287705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402012800000",
    "number": "1043510191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 NANA PL # 1",
            "city": "KAPAA",
            "state": "HI",
            "postal_code": "967461369",
            "telephone_number": "808-821-1940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 NANA PL # 1",
            "city": "KAPAA",
            "state": "HI",
            "postal_code": "967461369",
            "telephone_number": "808-821-1940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUIDICI",
        "first_name": "DIANE",
        "middle_name": "K",
        "credential": "MFT, MIN.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-22",
        "last_updated": "2014-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT 21066",
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "HI",
            "license": "HI 2012-02432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kapa'a, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2014; 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.