Kristin Lynn Beebe, LLMFT
Individual provider Active NPI Marriage & Family Therapist · Honolulu, HI
NPI 1124592027 · NPPES record last updated Mar 7, 2023
Key facts
- NPI
- 1124592027
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- MFT-690 (HI)
- Practice address
- 1136 Union Mall FL 4
Honolulu, HI 96813-2719 - Phone
- (941) 270-3895
- NPI assigned
- Jan 15, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFT-690 | HI | MD | Marriage & Family Therapist |
| 4101006778 | MI | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 4101006778 | MI | |
| Marriage & Family Therapist | 106H00000X | MFT-690 | HI | Yes |
Addresses
Primary practice location
1136 Union Mall FL 4
Honolulu, HI 96813-2719
Mailing address
82 Kokio LN
Honolulu, HI 96818-5428
Phone (808) 724-0833
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124592027 | Medicaid | HI |
Other providers in Honolulu, HI
- Shobana Beckman
- Brian J. Becksvoort
- Christie Becu
- Bee Plus Able Hawaii LLC
- Julie Beebe
- Ava Isabella Beecher
- Heather Beecher
- Linda Ann Victorino Beechinor
- Ryan Beetham
- Roxanne Begin
All providers in Honolulu, HI · Marriage & Family Therapist in Hawaii
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.