Individual provider Active NPI

Brooke Rickard, MSCP

  • Mental Health Counselor
  • Honolulu, HI
National Provider Identifier
1053958165
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1100 Alakea St FL 9
Honolulu, HI 96813-2833
Phone
(808) 523-7771
NPI assigned
Dec 8, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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 Primary

Addresses

Primary practice location

1100 Alakea St FL 9
Honolulu, HI 96813-2833

Mailing address

91-238 Laupai Way
Ewa Beach, HI 96706-4905
Phone (808) 225-2415

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL alakaiinc@aol.com Direct Alakai Na Keiki Inc

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240108006057 HI Practitioner - Mental Health Counselor 3870944473 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Imua Health Group, LLC Mental Health CurrentSince Jan 1, 2024 Accepting new patients
Alaka'I NA Keiki, Inc. PastSince Dec 15, 2019 Accepting new patients
Imua Heart PastSince Jul 2, 2023 Accepting new patients

Locations

99-080 Kauhale St
Ste C20
Aiea, HI 96701
Phone (808) 320-1025

99-080 Kauhale St
Ste C20
Aiea, HI 96701
Phone (808) 320-1025

Organizations & group practices 3

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": "1575763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1053958165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91-238 LAUPAI WAY",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967064905",
            "telephone_number": "808-225-2415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 ALAKEA ST FL 9",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132833",
            "telephone_number": "808-523-7771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICKARD",
        "first_name": "BROOKE",
        "credential": "MSCP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-08",
        "last_updated": "2023-11-27",
        "certification_date": "2019-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "alakaiinc@aol.com",
            "affiliation": "Y",
            "affiliationName": "Alakai Na Keiki Inc",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1100 Alakea St Fl 9",
            "city": "Honolulu",
            "state": "HI",
            "country_code": "US",
            "postal_code": "968132833",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.