Active NPI
Shaela Sakamoto
- Mental Health Counselor
- Wailuku, HI
National Provider Identifier
1093249492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LMHC1025
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| XLEH652273 | Medicaid | HI |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMHC1025 | HI | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fields Psychiatric Consultants LLC | Current | Accepting new patients | |
| Piha Wellness and Healing | Current | 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.
-
- Community/Behavioral Health Agency
- Mililani, HI
- NPI 1316667959
-
- Clinical Social Worker
- Wailuku, HI
- NPI 1932933256
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.