Active NPI
Cornelia C Waiau, LMFT
- Marriage & Family Therapist
- Hilo, HI
National Provider Identifier
1104073113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFT - 378
- Practice address
- 101 Aupuni St Ste 241
Hilo, HI 96720-4261 - Phone
- (808) 938-6842
- NPI assigned
- Aug 20, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFT - 378 | HI | Primary |
Addresses
Primary practice location
101 Aupuni St Ste 241
Hilo, HI 96720-4261
Mailing address
PO Box 10703
Hilo, HI 96721-5703
Phone (808) 938-6842
Other practice location 1
1045 Kilauea Ave
#A
Hilo, HI 96720-4291
Phone (808) 935-2188
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
| License | State | Type | Specialty |
|---|---|---|---|
| MFT - 378 | HI | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1104073113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10703",
"city": "HILO",
"state": "HI",
"postal_code": "967215703",
"telephone_number": "808-938-6842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 AUPUNI ST STE 241",
"city": "HILO",
"state": "HI",
"postal_code": "967204261",
"telephone_number": "808-938-6842"
}
],
"practiceLocations": [
{
"address_1": "1045 Kilauea Ave",
"address_2": "#A",
"address_purpose": "LOCATION",
"city": "Hilo",
"state": "HI",
"postal_code": "967204291",
"country_code": "US",
"telephone_number": "808-935-2188",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WAIAU",
"first_name": "CORNELIA",
"middle_name": "C",
"name_prefix": "Mrs.",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-08-20",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "HI",
"license": "MFT - 378",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hilo, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.