Individual provider Active NPI

Kimberly Jean West, LMHC

  • Mental Health Counselor
  • Lahaina, HI
National Provider Identifier
1043893019
Registry record updated Sep 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1760 Honoapiilani Hwy Unit 12123
Lahaina, HI 96761-5085
Phone
(808) 463-4934
NPI assigned
Apr 28, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X HI Primary

Addresses

Primary practice location

1760 Honoapiilani Hwy Unit 12123
Lahaina, HI 96761-5085

Mailing address

PO Box 81448
Haiku, HI 96708-1448
Phone (808) 298-3612

Other practice location 1

270 Waiehu Beach Rd # 1472
Wailuku, HI 96793-1472
Phone (808) 244-7405

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL HAIKU Direct Hawaii Behavioral Health

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI, OH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20241002001480 HI Practitioner - Mental Health Counselor 5496286346 Reassigns benefits to 4 organizations
I20241119004039 OH Practitioner - Mental Health Counselor 5496286346 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Maui Healing LLC Mental Health CurrentSince Sep 1, 2024 Accepting new patients
Mental Health Specialty Group PA Mental Health CurrentSince Oct 1, 2025 Accepting new patients
Grow Healthcare Group PA Mental Health CurrentSince Oct 8, 2024 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

500 Ala Moana Blvd
Ste 7400
Honolulu, HI 96813
Phone (617) 823-6490

1760 Honoapiilani Hwy
Unit 12123
Lahaina, HI 96761
Phone (808) 463-4934

4449 Easton Way
Fl 2
Columbus, OH 43219
Phone (614) 565-8197

Networks

  • HI PPO
  • devoted network organization-c89d4c14-e90f-4cf7-83f9-456527a52335

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1619568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726358400000",
    "number": "1043893019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 81448",
            "city": "HAIKU",
            "state": "HI",
            "postal_code": "967081448",
            "telephone_number": "808-298-3612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 HONOAPIILANI HWY UNIT 12123",
            "city": "LAHAINA",
            "state": "HI",
            "postal_code": "967615085",
            "telephone_number": "808-463-4934"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "270 Waiehu Beach Rd # 1472",
            "address_purpose": "LOCATION",
            "city": "Wailuku",
            "state": "HI",
            "postal_code": "967931472",
            "country_code": "US",
            "telephone_number": "808-244-7405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEST",
        "first_name": "KIMBERLY",
        "middle_name": "JEAN",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-28",
        "last_updated": "2024-09-15",
        "certification_date": "2024-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "HI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "HAIKU",
            "affiliation": "Y",
            "endpointDescription": "Haiku",
            "affiliationName": "Hawaii Behavioral Health",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "509 Palama Dr Unit C",
            "city": "Kahului",
            "state": "HI",
            "country_code": "US",
            "postal_code": "967321567",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lahaina, HI

Sources for this page

Verify at the official NPI Registry.