Individual provider Active NPI

Dorene C Toutant, LCSW

  • Mental Health Counselor
  • Wailuku, HI
National Provider Identifier
1114466190
Registry record updated Feb 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
4199 Issued in HI
Practice address
50 Kaukini Loop
Wailuku, HI 96793
Phone
(626) 755-8726
NPI assigned
Feb 23, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2017

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 4199 HI Primary

Addresses

Primary practice location

50 Kaukini Loop
Wailuku, HI 96793

Mailing address

1704 Wili PA Loop # 272
Wailuku, HI 96793-1240
Phone (626) 755-8726

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
I20170505001804 HI Practitioner - Clinical Social Worker 7012294705 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

135 S Wakea Ave
Suite 208
Kahului, HI 96732-1385
Phone (808) 757-9369

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dorene Toutant LLC CurrentSince Apr 14, 2017 Accepting new patients

Locations

135 S Wakea Ave
Ste 208
Kahului, HI 96732
Phone (808) 280-4402

1704 Wili Pa Loop
Wailuku, HI 96793

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": "1487808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487808000000",
    "number": "1114466190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1704 WILI PA LOOP # 272",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967931240",
            "telephone_number": "626-755-8726",
            "fax_number": "808-442-0626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 KAUKINI LOOP",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "96793",
            "telephone_number": "626-755-8726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOUTANT",
        "first_name": "DORENE",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-23",
        "last_updated": "2017-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "HI",
            "license": "4199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wailuku, HI

Sources for this page

Verify at the official NPI Registry.