Individual provider Active NPI

Eren Misa Kamiyama, MFT

  • Marriage & Family Therapist
  • Honolulu, HI
National Provider Identifier
1104192855
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
309 Issued in HI
Practice address
1345 S Beretania St
Honolulu, HI 96814-1802
Phone
(808) 391-3736
NPI assigned
Mar 27, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 309 HI Primary

Addresses

Primary practice location

1345 S Beretania St
Honolulu, HI 96814-1802

Mailing address

1345 S Beretania St
Honolulu, HI 96814-1802
Phone (808) 391-3736

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
I20240314003358 HI Practitioner - Marriage and Family Therapist 3274979034 Practice locations: Kaneohe, HI

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
309HIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Care Hawaii, Inc. CurrentSince Aug 10, 2025 Accepting new patients
Care Hawaii, Inc. CurrentSince Aug 10, 2025 Accepting new patients

Locations

1345 S Beretania St
Honolulu, HI 96814
Phone (808) 291-5375

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": "1332806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1104192855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1345 S BERETANIA ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141802",
            "telephone_number": "808-391-3736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1345 S BERETANIA ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141802",
            "telephone_number": "808-391-3736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMIYAMA",
        "first_name": "EREN",
        "middle_name": "MISA",
        "name_prefix": "Miss",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-27",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "HI",
            "license": "309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.