Individual provider Active NPI

Cheryl Jorgensen, LMHC

  • Mental Health Counselor
  • Hilo, HI
National Provider Identifier
1114207156
Registry record updated Aug 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MHC324 Issued in HI
Practice address
120 Keawe St
Suite 204J, Box 232
Hilo, HI 96720-2874
Phone
(808) 935-9396
Fax
(808) 935-9996
NPI assigned
Aug 22, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MHC324 HI Primary

Addresses

Primary practice location

120 Keawe St
Suite 204J, Box 232
Hilo, HI 96720-2874

Mailing address

120 Keawe St
Suite 204J, Box 232
Hilo, HI 96720-2874
Phone (808) 935-9396

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
I20240219002488 HI Practitioner - Mental Health Counselor 0345684296 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

101 Aupuni St
Suite 251
Hilo, HI 96720-4262
Phone (808) 935-9396

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MHC324HIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cheryl Jorgensen LLC CurrentSince Nov 9, 2023 Accepting new patients

Locations

101 Aupuni St
Ste 251
Hilo, HI 96720
Phone (808) 935-9396

Networks

  • HI PPO

Organizations & group practices 1

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": "1313971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439510400000",
    "number": "1114207156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 KEAWE ST",
            "address_2": "SUITE 204J, BOX 232",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202874",
            "telephone_number": "808-935-9396",
            "fax_number": "808-935-9996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 KEAWE ST",
            "address_2": "SUITE 204J, BOX 232",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202874",
            "telephone_number": "808-935-9396",
            "fax_number": "808-935-9996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORGENSEN",
        "first_name": "CHERYL",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-22",
        "last_updated": "2015-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "HI",
            "license": "MHC324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilo, HI

Sources for this page

Verify at the official NPI Registry.