Kristina Pauline Poulos, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

359 Issued in HI

Practice address

3615 Harding Ave Ste 509
Honolulu, HI 96816

Phone

(808) 739-1992

NPI assigned

May 25, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• The Catalyst Group, LLC

  • Clinical Psychologist
  • Honolulu, HI
  • NPI 1497042162
  NPD (past)

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

{
    "created_epoch": "1527206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651449600000",
    "number": "1043701956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7080 HAWAII KAI DR APT 1",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968253102",
            "telephone_number": "808-391-0876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3615 HARDING AVE STE 509",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "96816",
            "telephone_number": "808-739-1992"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7080 Hawaii Kai Dr Apt 1",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968253102",
            "country_code": "US",
            "telephone_number": "808-391-0876",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POULOS",
        "first_name": "KRISTINA",
        "middle_name": "PAULINE",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-25",
        "last_updated": "2022-05-02",
        "certification_date": "2022-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "HI",
            "license": "359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Post Acute Care Hawaii
• Hannah Post
• Jazmin Potes Mangra
• Janelle Pouesi
• Glenn Thomas Poulain, D.C.
• Shenandoah Joy Pounpanya, LMT
• Farzad Pourarian, D.O.
• Michele Pourjalali, LBA, BCBA
• Tahoora Pourjalali
• Nicole Claudine Powell-Dunford, MD

• Marriage & Family Therapist in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Marriage & Family Therapist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2022; 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.