Active NPI
Adi E Juarez, LMFT
- Marriage & Family Therapist
- Kihei, HI
National Provider Identifier
1114250693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 627
- Practice address
- 2695 S Kihei Rd Apt 10201
Kihei, HI 96753-8673 - Phone
- (808) 495-9371
- NPI assigned
- Sep 15, 2009
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 37FI00182600 | NJ | |
| Marriage & Family Therapist | 106H00000X | 001214-1 | NY | |
| Marriage & Family Therapist | 106H00000X | 62007 | CA | |
| Marriage & Family Therapist | 106H00000X | 627 | HI | Primary |
Addresses
Primary practice location
2695 S Kihei Rd Apt 10201
Kihei, HI 96753-8673
Mailing address
2695 S Kihei Rd Apt 10201
Kihei, HI 96753-8673
Phone (808) 495-9371
Other names 1
- Adi Leary
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 |
|---|---|---|---|
| 627 | HI | MD | Behavioral Analyst |
| 62007 | CA | MD | Marriage & Family Therapist |
| 37FI00182600 | NJ | MD | Marriage & Family Therapist |
| 001214-1 | NY | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657152000000",
"number": "1114250693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2695 S KIHEI RD APT 10201",
"city": "KIHEI",
"state": "HI",
"postal_code": "967538673",
"telephone_number": "808-495-9371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2695 S KIHEI RD APT 10201",
"city": "KIHEI",
"state": "HI",
"postal_code": "967538673",
"telephone_number": "808-495-9371"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUAREZ",
"first_name": "ADI",
"middle_name": "E",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-09-15",
"last_updated": "2022-07-07",
"certification_date": "2022-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NJ",
"license": "37FI00182600",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NY",
"license": "001214-1",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "62007",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "HI",
"license": "627",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ADI",
"last_name": "LEARY",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Kihei, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.