Individual provider Active NPI

Shanelle C Purdy, LMHC

  • Mental Health Counselor
  • Waianae, HI
National Provider Identifier
1124433651
Registry record updated Aug 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MHC-861 Issued in HI
Practice address
87-325 Mokila PL
Waianae, HI 96792-2850
Phone
(808) 864-6863
NPI assigned
Jun 23, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MHC-861 HI Primary
Professional Counselor 101YP2500X LPC-24838 AZ

Addresses

Primary practice location

87-325 Mokila PL
Waianae, HI 96792-2850

Mailing address

87-325 Mokila PL
Waianae, HI 96792-2850
Phone (808) 864-6863

Other names 1

  • Shanelle C Hernandez Former name

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
I20241118003152 HI Practitioner - Mental Health Counselor 2668907353 Practice locations: Waianae, HI

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MHC-861HIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Shanelle Purdy LMHC, LLC Mental Health CurrentSince Apr 30, 2023 Accepting new patients
Ho'Omaka Kou Ola Hou CurrentSince Aug 28, 2022 Accepting new patients

Organizations & group practices 2

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": "1403481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786665600000",
    "number": "1124433651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87-325 MOKILA PL",
            "city": "WAIANAE",
            "state": "HI",
            "postal_code": "967922850",
            "telephone_number": "808-864-6863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87-325 MOKILA PL",
            "city": "WAIANAE",
            "state": "HI",
            "postal_code": "967922850",
            "telephone_number": "808-864-6863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURDY",
        "first_name": "SHANELLE",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-23",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "HI",
            "license": "MHC-861",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-24838",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANELLE",
            "last_name": "HERNANDEZ",
            "middle_name": "C",
            "credential": "LMHC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Waianae, HI

Sources for this page

Verify at the official NPI Registry.