Individual provider Active NPI

Joanne Marroni, L.M.H.C., M.A.C

  • Mental Health Counselor
  • Makawao, HI
National Provider Identifier
1073857744
Registry record updated Nov 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MHC-180 Issued in HI
Practice address
1170 Makawao Ave
Makawao, HI 96768-9448
Phone
(574) 876-0711
NPI assigned
Nov 19, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1359-08 HI
Mental Health Counselor 101YM0800X MHC-180 HI Primary

Addresses

Primary practice location

1170 Makawao Ave
Makawao, HI 96768-9448

Mailing address

PO Box 791125
Paia, HI 96779-1125
Phone (574) 876-0711

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1359-08HIMDAddiction (Substance Use Disorder) Counselor
MHC-180HIMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1353283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353283200000",
    "number": "1073857744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 791125",
            "city": "PAIA",
            "state": "HI",
            "postal_code": "967791125",
            "telephone_number": "574-876-0711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1170 MAKAWAO AVE",
            "city": "MAKAWAO",
            "state": "HI",
            "postal_code": "967689448",
            "telephone_number": "574-876-0711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARRONI",
        "first_name": "JOANNE",
        "name_prefix": "Ms.",
        "credential": "L.M.H.C., M.A.C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-19",
        "last_updated": "2012-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "HI",
            "license": "1359-08",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "HI",
            "license": "MHC-180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Makawao, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2012; 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.