Active NPI
Melissa Ann Uilani Manuel Stevens, LMFT, LMHC, CSAC
- Mental Health Counselor
- Mililani, HI
National Provider Identifier
1104401090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 684
- Practice address
- 94-278 Kupulau PL
Mililani, HI 96789-1831 - Phone
- (808) 636-5989
- NPI assigned
- Mar 12, 2021
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Marriage & Family Therapist | 106H00000X | MFT-694 | HI | |
| Mental Health Counselor | 101YM0800X | 684 | HI | Primary |
Addresses
Primary practice location
94-278 Kupulau PL
Mililani, HI 96789-1831
Mailing address
94-278 Kupulau PL
Mililani, HI 96789-1831
Phone (808) 636-5989
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-694 | HI | MD | Marriage & Family Therapist |
| 684 | HI | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687305600000",
"number": "1104401090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "94-278 KUPULAU PL",
"city": "MILILANI",
"state": "HI",
"postal_code": "967891831",
"telephone_number": "808-636-5989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "94-278 KUPULAU PL",
"city": "MILILANI",
"state": "HI",
"postal_code": "967891831",
"telephone_number": "808-636-5989"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVENS",
"first_name": "MELISSA",
"middle_name": "ANN UILANI MANUEL",
"credential": "LMFT, LMHC, CSAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-03-12",
"last_updated": "2023-06-21",
"certification_date": "2023-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "HI",
"license": "MFT-694",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "HI",
"license": "684",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mililani, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.