Individual provider Active NPI

Jill Marie Elliott, M.ED. COUNSELING

  • Mental Health Counselor
  • Honolulu, HI
National Provider Identifier
1124669023
Registry record updated Oct 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
370 Haleloa PL Apt H
Honolulu, HI 96821-2273
Phone
(907) 843-1009
NPI assigned
Oct 1, 2019
Sex
Female
Sole proprietor
Yes

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

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

NPPES NPI Registry

Primary practice location

370 Haleloa PL Apt H
Honolulu, HI 96821-2273

Mailing address

370 Haleloa PL Apt H
Honolulu, HI 96821-2273
Phone (907) 843-1009

Other names 1

NPPES NPI Registry
  • Jill Marie Elliott Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 1, 2019.

{
    "created_epoch": "1569888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569888000000",
    "number": "1124669023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 HALELOA PL APT H",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968212273",
            "telephone_number": "907-843-1009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 HALELOA PL APT H",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968212273",
            "telephone_number": "907-843-1009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "JILL",
        "middle_name": "MARIE",
        "credential": "M.ED. COUNSELING",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-01",
        "last_updated": "2019-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILL",
            "last_name": "ELLIOTT",
            "middle_name": "MARIE",
            "credential": "JILL MARIE ROBERTSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Oct 1, 2019; 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.