Well Mind LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MHC292 Issued in HI

Legal business name

WELL MIND LLC

Practice address

120 Keawe St
Ste 203B
Hilo, HI 96720-2874

Phone

(808) 896-4121

Fax

(808) 963-6016

NPI assigned

Jan 7, 2013

Organization subpart

No

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

Authorized official

Name

Shari Tresky, MA, LMHCNPI 1639416910

Title

Owner

Phone

(808) 896-4121

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shari Tresky, MA, LMHC

  • Mental Health Counselor
  • Hilo, HI
  • NPI 1639416910
  Medicare reassignment NPD Authorized official
• Johanna Park

  • Counselor
  • Hilo, HI
  • NPI 1063853299
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1357516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357516800000",
    "number": "1134466410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 173",
            "city": "HAKALAU",
            "state": "HI",
            "postal_code": "967100173",
            "telephone_number": "808-896-4121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 KEAWE ST",
            "address_2": "STE 203B",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202874",
            "telephone_number": "808-896-4121",
            "fax_number": "808-963-6016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELL MIND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-07",
        "last_updated": "2013-01-07",
        "status": "A",
        "authorized_official_last_name": "TRESKY",
        "authorized_official_first_name": "SHARI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-896-4121",
        "authorized_official_credential": "MA, LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "HI",
            "license": "MHC292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ingrid Webb
• Savanna Weber
• Rex Anthony Weigel, D.C.
• Nicholas Weiss
• Misae Sharon Akiona Wela, RN
• Wellness First Hawaii LLC
• West Hawaii Community Health Center, Inc.
• West Hawaii Community Health Center, Inc.
• West Hawaii Community Health Center, Inc.
• West Hawaii Community Health Center, Inc.

• Mental Health Counselor in Hilo, HI
• Providers in Hilo, HI by specialty
• Mental Health Counselor in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.