Individual provider Active NPI

Amanda Louise Hess, MSC, LMFT, LMHC

  • Marriage & Family Therapist
  • Kapolei, HI
National Provider Identifier
1053722512
Registry record updated Jan 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
HILMFT-506 Issued in HI
Practice address
2176 Lauwiliwili St Ste 1
Kapolei, HI 96707-1882
Phone
(808) 518-2090
Fax
(808) 376-0731
NPI assigned
May 17, 2014
Last updated
Jan 11, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X HILMFT-506 HI Primary

Addresses

Primary practice location

2176 Lauwiliwili St Ste 1
Kapolei, HI 96707-1882

Mailing address

PO Box 700024
Kapolei, HI 96709-0024
Phone (808) 518-2090

Other identifiers 1

IdentifierTypeStateIssuer
789430MedicaidHI

Other names 1

  • Mrs. Amanda Louise Hess Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 6, 2025 through Jan 6, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
HILMFT-506HIMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
SCCS LLC Mental Health CurrentSince Jun 25, 2023 Accepting new patients

Locations

2176 Lauwiliwili St
Ste 1
Kapolei, HI 96707
Phone (808) 202-0919

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.

NPI Registry JSON

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

{
    "created_epoch": "1400284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641859200000",
    "number": "1053722512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 700024",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967090024",
            "telephone_number": "808-518-2090",
            "fax_number": "808-376-0731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2176 LAUWILIWILI ST STE 1",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967071882",
            "telephone_number": "808-518-2090",
            "fax_number": "808-376-0731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HESS",
        "first_name": "AMANDA",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "MSC, LMFT, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-17",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "HI",
            "license": "HILMFT-506",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "789430",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "HESS",
            "middle_name": "LOUISE",
            "prefix": "MRS.",
            "credential": "MSC, LMFT, LMHC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kapolei, HI

Sources for this page

Verify at the official NPI Registry.