Individual provider Active NPI

Anja Rivkin Lemieux, LMHC

  • Counselor
  • Hilo, HI
National Provider Identifier
1134470834
Registry record updated Sep 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
77 Mohouli St
Hilo, HI 96720-4181
Phone
(808) 936-9773
NPI assigned
Sep 21, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X MHC-709 HI
Counselor 101Y00000X Primary

Addresses

Primary practice location

77 Mohouli St
Hilo, HI 96720-4181

Mailing address

135 Alae St
Hilo, HI 96720-2504
Phone (808) 936-9771

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
I20250718002972 HI Practitioner - Mental Health Counselor 3375059173 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Root 2 Rise CooperativeGroup PAC ID 1759896087, 9 clinicians

Practice addresses (Care Compare)

80 Pauahi St
Suite 101
Hilo, HI 96720-3043
Phone (831) 252-3266

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Root 2 Rise Cooperative CurrentSince Jun 1, 2025 Accepting new patients

Locations

80 Pauahi St
Ste 101
Hilo, HI 96720
Phone (808) 531-7222

Organizations & group practices 1

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": "1348185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599782400000",
    "number": "1134470834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 ALAE ST",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202504",
            "telephone_number": "808-936-9771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 MOHOULI ST",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967204181",
            "telephone_number": "808-936-9773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEMIEUX",
        "first_name": "ANJA",
        "middle_name": "RIVKIN",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-21",
        "last_updated": "2020-09-11",
        "certification_date": "2020-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "HI",
            "license": "MHC-709",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilo, HI

Sources for this page

Verify at the official NPI Registry.