Ka Hoku Kai Counseling Center, LLC

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

KA HOKU KAI COUNSELING CENTER, LLC

Practice address

166 Kamehameha Ave Ste 1
Hilo, HI 96720-2857

Phone

(808) 345-4863

NPI assigned

Jan 5, 2020

Last updated

Jan 5, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jessica Elizabeth-Rose Carroll, PHDNPI 1306222401

Title

Clinical Psychologist

Phone

(808) 345-4863

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jessica Elizabeth-Rose Carroll, PHD

  • Clinical Psychologist
  • Mountain View, HI
  • NPI 1306222401
  NPD Authorized official

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

{
    "created_epoch": "1578182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578182400000",
    "number": "1043859200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 711570",
            "city": "MOUNTAIN VIEW",
            "state": "HI",
            "postal_code": "967711570",
            "telephone_number": "808-345-4863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 KAMEHAMEHA AVE STE 1",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202857",
            "telephone_number": "808-345-4863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KA HOKU KAI COUNSELING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-05",
        "last_updated": "2020-01-05",
        "certification_date": "2020-01-05",
        "status": "A",
        "authorized_official_last_name": "CARROLL",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "ELIZABETH-ROSE",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "808-345-4863",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joy Gallina, LLC
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• David Allan Jung, M.D.
• Kaycie Jyo, LMT
• Ka Counseling, LLC (Kristen A Mcfee)
• Desiree Kaae
• Jasmine Kaahanui
• Amy Mahealani Kaaiakamanu, BA
• Kaylin Kiani Wong Kaaua, APRN
• Jerem Nohea Kaawaloa, M.D.

• Adolescent and Children Mental Health Clinic/Center in Hilo, HI
• Providers in Hilo, HI by specialty
• Adolescent and Children Mental Health Clinic/Center in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2020; 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.