Kevin Deeds, SAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

75-170 Hualalai Rd
Kailua Kona, HI 96740-1779

Phone

(808) 895-0148

Fax

(808) 664-6721

NPI assigned

Jan 9, 2023

Last updated

Jan 9, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1673222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673222400000",
    "number": "1114631629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78-1043 BISHOP RD",
            "city": "HOLUALOA",
            "state": "HI",
            "postal_code": "967259713",
            "telephone_number": "808-339-2910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75-170 HUALALAI RD",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967401779",
            "telephone_number": "808-895-0148",
            "fax_number": "808-664-6721"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "78-1043 Bishop Rd",
            "address_purpose": "LOCATION",
            "city": "Holualoa",
            "state": "HI",
            "postal_code": "967259713",
            "country_code": "US",
            "telephone_number": "808-444-3029",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEEDS",
        "first_name": "KEVIN",
        "credential": "SAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-01-09",
        "last_updated": "2023-01-09",
        "certification_date": "2022-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "HI",
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NAADAC",
            "identifier": "231284",
            "state": "HI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "KIPU",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "KIPU Messenger",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "KIPU Messenger",
            "address_1": "75-170 Hualalai Rd",
            "city": "Kailua Kona",
            "state": "HI",
            "country_code": "US",
            "postal_code": "967401779",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Amy Lanelle Davis, P.T.
• Amy Leah Davis, M.ED.
• Dana Davis, LMT
• Jennifer L. De Costa, PHD, MFT, CSAC
• Daniel Aaron Debiec, LPC
• Jessica Dehmel
• Gabrielle Dela Cruz
• Daisy Delangen, L.AC.
• Forrest J. Delikowski, PA-C
• Nicholas Delisle, DMD

• Addiction (Substance Use Disorder) Counselor in Kailua Kona, HI
• Providers in Kailua Kona, HI by specialty
• Addiction (Substance Use Disorder) Counselor in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.