Individual provider Active NPI

Colin Porter Moore, MS, LMFT

  • Marriage & Family Therapist
  • Honolulu, HI
National Provider Identifier
1083349112
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT-837 Issued in HI
Practice address
2875 S King St Ste 201a
Honolulu, HI 96826-3508
Phone
(808) 460-3700
NPI assigned
Jul 21, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X
Marriage & Family Therapist 106H00000X MFT-837 HI Primary

Addresses

Primary practice location

2875 S King St Ste 201a
Honolulu, HI 96826-3508

Mailing address

2875 S King St Ste 201a
Honolulu, HI 96826-3508
Phone (808) 460-3700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 10, 2024 through Apr 10, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
MFT-837HIMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hawaii Therapeutic Partners, LLC Marriage & Family Therapist CurrentSince Jul 1, 2022 Accepting new patients

Locations

2875 S King St
Ste 201A
Honolulu, HI 96826
Phone (808) 460-3700

2875 S King St
Ste 203
Honolulu, HI 96826
Phone 8089446900 ext. 2

Organizations & group practices 1

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": "1658361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744243200000",
    "number": "1083349112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2875 S KING ST STE 201A",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968263508",
            "telephone_number": "808-460-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2875 S KING ST STE 201A",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968263508",
            "telephone_number": "808-460-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "COLIN",
        "middle_name": "PORTER",
        "name_prefix": "Mr.",
        "credential": "MS, LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-21",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "HI",
            "license": "MFT-837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.