Lokahi Treatment Centers

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

LOKAHI TREATMENT CENTERS

Practice address

68-1845 Waikoloa Road
Waikoloa Highlands Shopping Center Suite 224B
Waikoloa, HI 96738

Phone

(808) 883-0922

Fax

(808) 883-1022

NPI assigned

Dec 13, 2006

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jamal F. Wasan, PHD, CSACNPI 1427129196

Title

Ceo

Phone

(808) 883-0922

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Tax ID family

Lokahi Treatment Centers2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Lokahi Treatment Centers

  • Addiction (Substance Use Disorder) Counselor
  • Hilo, HI
  • NPI 1902615586
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Lokahi Treatment Centers

  • Addiction (Substance Use Disorder) Counselor
  • Hilo, HI
  • NPI 1902615586
  NPPES parent name

Practitioners 4

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.

• Jamal Fulani Wasan, PH.D

  • Mental Health Counselor
  • Kailua Kona, HI
  • NPI 1427129196
  Medicare reassignment Care Compare group NPD Authorized official
• Andrew David Bisset, M.D.

  • Psychiatry Physician
  • Honolulu, HI
  • NPI 1548210347
  Medicare reassignment Care Compare group NPD
• Janice Margaret Brencick, APRN-BC, PHD

  • Psychiatric/Mental Health Registered Nurse
  • Kamuela, HI
  • NPI 1982739264
  NPD (past)
• Brenda K. Constine, MA, LMHC, CSAC

  • Mental Health Counselor
  • Hilo, HI
  • NPI 1285788992

  Addiction (Substance Use Disorder)

  NPD (past)

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1073674602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 383401",
            "city": "WAIKOLOA",
            "state": "HI",
            "postal_code": "967383401",
            "telephone_number": "808-883-0922",
            "fax_number": "808-883-1022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68-1845 WAIKOLOA ROAD",
            "address_2": "WAIKOLOA HIGHLANDS SHOPPING CENTER SUITE 224B",
            "city": "WAIKOLOA",
            "state": "HI",
            "postal_code": "96738",
            "telephone_number": "808-883-0922",
            "fax_number": "808-883-1022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOKAHI TREATMENT CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "WASAN",
        "authorized_official_first_name": "JAMAL",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "808-883-0922",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, CSAC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "HI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BISSET NPI",
            "identifier": "1548210347",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "56024401",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASAN NPI",
            "identifier": "1427129196",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "55787901",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Kwon, DDS
• Carl D Langan, LMT
• Cara Larsen
• Mark Litzinger
• Monica Litzinger
• Mana Physical Therapy Inc.
• Susannah Kerr Mistr, MD
• Nan Kuli Kai Pharmacy Inc (Waikoloa Pharmacy)
• Nina M Nemetz, OD
• Khoa Dang Nguyen, OD

• Addiction (Substance Use Disorder) Counselor in Waikoloa, HI
• Providers in Waikoloa, HI by specialty
• Addiction (Substance Use Disorder) Counselor in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.