NPIMap

Organization Active NPI

Mental Health Kokua

  • Case Management Agency
  • Honolulu, HI
National Provider Identifier
1114218625
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
MENTAL HEALTH KOKUA
Practice address
1188 Fort Street Mall Ste 203
Honolulu, HI 96813-2713
Phone
(808) 737-2523
NPI assigned
May 2, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

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

Authorized official

Name
Greg Payton
Title
Ceo/Ed
Phone
(808) 737-2523

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Counseling PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC1900X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X
Case Management Agency 251B00000X Primary
Developmentally Disabled Services Day Training Agency 251C00000X
Mental Illness Community Based Residential Treatment Facility 320800000X
Respite Care 385H00000X

Addresses

Primary practice location

1188 Fort Street Mall Ste 203
Honolulu, HI 96813-2713

Mailing address

PO Box 37248
Honolulu, HI 96837-0248
Phone (808) 737-2523

Other identifiers 1

IdentifierTypeStateIssuer
1033258348OtherHIHAWAII DEPARTMENT OF HEALTH, ADULT MENTAL HEALTH DIVISION

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140826000066 HI Part B Supplier - Clinic/Group Practice 1355569864 Receives reassigned benefits from 2 practitioners
Practice locations: Honolulu, HI

National Provider Directory

National Provider Directory
Tax ID family
Mental Health Kokua36 organizations share this tax ID, including this one

Other organizations with this tax ID 35

Organizations that report the same tax identification number in the National Provider Directory.

View all 35

Locations

1221 Kapiolani Blvd
#34
Honolulu, HI 96814

1188 Fort Street Mall
Ste 203
Honolulu, HI 96813

105 N Market St
Ste 201
Wailuku, HI 96793
Phone (808) 986-0059

105 N Market St
Ste 102
Wailuku, HI 96793
Phone (808) 344-5738

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1304294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773705600000",
    "number": "1114218625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37248",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968370248",
            "telephone_number": "808-737-2523",
            "fax_number": "808-734-1208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1188 FORT STREET MALL STE 203",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132713",
            "telephone_number": "808-737-2523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL HEALTH KOKUA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-02",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A",
        "authorized_official_last_name": "PAYTON",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "CEO/ED",
        "authorized_official_telephone_number": "808-737-2523"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAWAII DEPARTMENT OF HEALTH, ADULT MENTAL HEALTH DIVISION",
            "identifier": "1033258348",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.