Active NPI
Kerith G Edwards
- Mental Health Counselor
- Lihue, HI
National Provider Identifier
1043690241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MHC-506
- Practice address
- 2959 Umi St Ste 300
Lihue, HI 96766 - Phone
- (808) 245-2873
- NPI assigned
- Jun 2, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Mental Health Counselor | 101YM0800X | MHC-506 | HI | Primary |
Addresses
Primary practice location
2959 Umi St Ste 300
Lihue, HI 96766
Mailing address
69 Railroad Avenue
Suite D Pmb50
Hilo, HI 96720
Phone (808) 498-7346
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
| License | State | Type | Specialty |
|---|---|---|---|
| MHC-506 | HI | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hale 'Opio Kauai | Counselor | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Counselor
- Lihue, HI
- NPI 1861889420
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529280000000",
"number": "1043690241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "69 RAILROAD AVENUE",
"address_2": "SUITE D PMB50",
"city": "HILO",
"state": "HI",
"postal_code": "96720",
"telephone_number": "808-498-7346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2959 UMI ST STE 300",
"city": "LIHUE",
"state": "HI",
"postal_code": "96766",
"telephone_number": "808-245-2873"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDS",
"first_name": "KERITH",
"middle_name": "G",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-06-02",
"last_updated": "2018-06-18",
"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": "MHC-506",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lihue, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.