NPIMap

Organization Active NPI

Kapolei Counseling Center, LLC

  • Marriage & Family Therapist
  • Kapolei, HI
National Provider Identifier
1073053005
Registry record updated Feb 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
363 Issued in HI
Legal business name
KAPOLEI COUNSELING CENTER, LLC
Practice address
2176 Lauwiliwili St
Unit 1
Kapolei, HI 96707-1881
Phone
(808) 330-6121
Fax
(808) 200-4955
NPI assigned
Feb 23, 2017
Last updated
Feb 23, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2017

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

Authorized official

Name
Mrs. Emilee Dunlap, LMFT, CSAC
Title
Owner
Phone
(808) 202-0919

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X 363 HI Primary

Addresses

Primary practice location

2176 Lauwiliwili St
Unit 1
Kapolei, HI 96707-1881

Mailing address

2176 Lauwiliwili St
Unit 1
Kapolei, HI 96707-1881
Phone (808) 330-6121

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240108004874 HI Part B Supplier - Clinic/Group Practice 1850742420 Receives reassigned benefits from 10 practitioners
Practice locations: Kapolei, HI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1487808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487808000000",
    "number": "1073053005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2176 LAUWILIWILI ST",
            "address_2": "UNIT 1",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967071881",
            "telephone_number": "808-330-6121",
            "fax_number": "808-200-4955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2176 LAUWILIWILI ST",
            "address_2": "UNIT 1",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967071881",
            "telephone_number": "808-330-6121",
            "fax_number": "808-200-4955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAPOLEI COUNSELING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-23",
        "last_updated": "2017-02-23",
        "status": "A",
        "authorized_official_last_name": "DUNLAP",
        "authorized_official_first_name": "EMILEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-202-0919",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMFT, CSAC"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "HI",
            "license": "363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kapolei, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.