Organization Active NPI

Wellness Kuleana LLC

  • Clinical Social Worker
  • Kahului, HI
National Provider Identifier
1053901694
Registry record updated Jan 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
WELLNESS KULEANA LLC
Practice address
95 Lono Ave Ste 218
Kahului, HI 96732-1610
Phone
(808) 740-2852
Fax
(877) 684-8056
NPI assigned
Jan 18, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2021

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

Authorized official

Name
Stephanie Alicia Gonzalez, LCSWNPI 1265983738
Title
Therapist
Phone
(808) 740-2852

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

95 Lono Ave Ste 218
Kahului, HI 96732-1610

Mailing address

793 Mahealani PL
Kihei, HI 96753-7318
Phone (808) 646-0325

National Provider Directory

National Provider Directory

Locations

95 Lono Ave
Ste 218
Kahului, HI 96732
Phone (808) 740-2852

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1610928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610928000000",
    "number": "1053901694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "793 MAHEALANI PL",
            "city": "KIHEI",
            "state": "HI",
            "postal_code": "967537318",
            "telephone_number": "808-646-0325",
            "fax_number": "877-684-8056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 LONO AVE STE 218",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "967321610",
            "telephone_number": "808-740-2852",
            "fax_number": "877-684-8056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS KULEANA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-18",
        "last_updated": "2021-01-18",
        "certification_date": "2021-01-18",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "ALICIA",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "808-740-2852",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kahului, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2021; 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.