Organization Active NPI

Protean Counseling & Consulting Hawaii LLC

  • Clinical Social Worker
  • Hilo, HI
National Provider Identifier
1114603834
Registry record updated Oct 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
PROTEAN COUNSELING & CONSULTING HAWAII LLC
Practice address
200 Kanoelehua Ave
PMB-347
Hilo, HI 96720
Phone
(808) 953-0181
NPI assigned
Jun 27, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2023

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

Authorized official

Name
Steven George Pesanka, LCSWNPI 1700515335
Title
Owner/Clinician
Phone
(808) 743-5024

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

200 Kanoelehua Ave
PMB-347
Hilo, HI 96720

Mailing address

200 Kanoelehua Ave
PMB-347
Hilo, HI 96720-4648
Phone (808) 743-5024

Other names 1

  • ProConHawaii LLC Doing business as

National Provider Directory

National Provider Directory

Locations

200 Kanoelehua Ave
Hilo, HI 96720
Phone (808) 953-0181

Practitioners & affiliated clinicians

Practitioners 1

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": "1687824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697241600000",
    "number": "1114603834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 KANOELEHUA AVE",
            "address_2": "PMB-347",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967204648",
            "telephone_number": "808-743-5024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 KANOELEHUA AVE",
            "address_2": "PMB-347",
            "city": "HILO",
            "state": "HI",
            "postal_code": "96720",
            "telephone_number": "808-953-0181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROTEAN COUNSELING & CONSULTING HAWAII LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-27",
        "last_updated": "2023-10-14",
        "certification_date": "2023-10-14",
        "status": "A",
        "authorized_official_last_name": "PESANKA",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "OWNER/CLINICIAN",
        "authorized_official_telephone_number": "808-743-5024",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ProConHawaii LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hilo, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.

Verify at the official NPI Registry.