Active NPI
Mary Jeanine Hellstrom, LMFT
- Marriage & Family Therapist
- Waipahu, HI
National Provider Identifier
1124630082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFT-661
- Practice address
- 94-656 Lumiauau St
Waipahu, HI 96797-5607 - Phone
- (239) 537-0308
- NPI assigned
- Aug 20, 2020
- Last updated
- Sep 1, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFT-661 | HI | Primary |
Addresses
Primary practice location
94-656 Lumiauau St
Waipahu, HI 96797-5607
Mailing address
66-437 Kamehameha Hwy Unit 982
Haleiwa, HI 96712-3043
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFT-661 | HI | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630454400000",
"number": "1124630082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "66-437 KAMEHAMEHA HWY UNIT 982",
"city": "HALEIWA",
"state": "HI",
"postal_code": "967123043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "94-656 LUMIAUAU ST",
"city": "WAIPAHU",
"state": "HI",
"postal_code": "967975607",
"telephone_number": "239-537-0308"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HELLSTROM",
"first_name": "MARY",
"middle_name": "JEANINE",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-08-20",
"last_updated": "2021-09-01",
"certification_date": "2021-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "HI",
"license": "MFT-661",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waipahu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.