Active NPI
Kyle Michael Good, PH.D. M.ED. LMHC
- Mental Health Counselor
- Honolulu, HI
National Provider Identifier
1124349592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MHC349
- Practice address
- 220 S King St
Suite 1170
Honolulu, HI 96813-4526 - Phone
- (808) 675-6108
- Fax
- (425) 820-1750
- NPI assigned
- Jun 18, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MHC349 | HI | Primary |
| Mental Health Counselor | 101YM0800X | LH60275244 | WA |
Addresses
Primary practice location
220 S King St
Suite 1170
Honolulu, HI 96813-4526
Mailing address
60 N Beretania St
#509
Honolulu, HI 96817-4752
Phone (808) 675-6108
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 826540100000 | Other | WA | PREMERA |
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
- Credentials
- Master of Education, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MHC349 | HI | MD | Mental Health Counselor |
| LH60275244 | WA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440460800000",
"number": "1124349592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 N BERETANIA ST",
"address_2": "#509",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968174752",
"telephone_number": "808-675-6108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 S KING ST",
"address_2": "SUITE 1170",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968134526",
"telephone_number": "808-675-6108",
"fax_number": "425-820-1750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOOD",
"first_name": "KYLE",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "PH.D. M.ED. LMHC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-06-18",
"last_updated": "2015-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "HI",
"license": "MHC349",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH60275244",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREMERA",
"identifier": "826540100000",
"state": "WA"
}
],
"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 Aug 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.