Individual provider Active NPI

Shaela Sakamoto

  • Mental Health Counselor
  • Wailuku, HI
National Provider Identifier
1093249492
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LMHC1025 Issued in HI
Practice address
270 Hookahi St Ste 211
Wailuku, HI 96793-1466
Phone
(808) 740-3860
NPI assigned
Apr 12, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Psychologist 103TH0100X
Mental Health Counselor 101YM0800X LMHC1025 HI Primary

Addresses

Primary practice location

270 Hookahi St Ste 211
Wailuku, HI 96793-1466

Mailing address

PO Box 804
Haiku, HI 96708-0804
Phone (808) 866-0594

Other identifiers 1

IdentifierTypeStateIssuer
XLEH652273MedicaidHI

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
I20250424002857 HI Practitioner - Mental Health Counselor 3577089325 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LMHC1025HIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Fields Psychiatric Consultants LLC CurrentSince Jun 1, 2025 Accepting new patients
Piha Wellness and Healing CurrentSince Feb 10, 2025 Accepting new patients

Locations

100 Kahelu Ave
Ste 232
Mililani, HI 96789
Phone (808) 207-9800

56 Central Ave
Wailuku, HI 96793
Phone (808) 818-8094

Networks

  • devoted network organization-c89d4c14-e90f-4cf7-83f9-456527a52335
  • HI PPO

Organizations & group practices 2

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": "1491955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712707200000",
    "number": "1093249492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 804",
            "city": "HAIKU",
            "state": "HI",
            "postal_code": "967080804",
            "telephone_number": "808-866-0594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 HOOKAHI ST STE 211",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967931466",
            "telephone_number": "808-740-3860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAKAMOTO",
        "first_name": "SHAELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-12",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "HI",
            "license": "LMHC1025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "XLEH652273",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wailuku, HI

Sources for this page

Verify at the official NPI Registry.