Organization Active NPI

Maui Mindfulness Center, LLC

  • Multi-Specialty Clinic/Center
  • Kihei, HI
National Provider Identifier
1184383820
Registry record updated Dec 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
MAUI MINDFULNESS CENTER, LLC
Practice address
3483 Malina PL
Kihei, HI 96753-9246
Phone
(808) 269-5996
NPI assigned
Dec 9, 2021
Last updated
Dec 9, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2021

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

Authorized official

Name
Tanya Noelle Gabriel, LMHCNPI 1427559939
Title
Mental Health Counselor/Owner
Phone
(808) 269-5996

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

3483 Malina PL
Kihei, HI 96753-9246

Mailing address

3483 Malina PL
Kihei, HI 96753-9246
Phone (808) 269-5996

Other identifiers 1

IdentifierTypeStateIssuer
824955MedicaidHI

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL simplepractice Other

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1639008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639008000000",
    "number": "1184383820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3483 MALINA PL",
            "city": "KIHEI",
            "state": "HI",
            "postal_code": "967539246",
            "telephone_number": "808-269-5996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3483 MALINA PL",
            "city": "KIHEI",
            "state": "HI",
            "postal_code": "967539246",
            "telephone_number": "808-269-5996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAUI MINDFULNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-09",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-09",
        "status": "A",
        "authorized_official_last_name": "GABRIEL",
        "authorized_official_first_name": "TANYA",
        "authorized_official_middle_name": "NOELLE",
        "authorized_official_title_or_position": "MENTAL HEALTH COUNSELOR/OWNER",
        "authorized_official_telephone_number": "808-269-5996",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "824955",
            "state": "HI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "simplepractice",
            "affiliation": "N",
            "endpointDescription": "EHR software",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Messaging",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "n/a",
            "address_1": "3483 Malina Pl",
            "city": "Kihei",
            "state": "HI",
            "country_code": "US",
            "postal_code": "967539246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kihei, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.

Verify at the official NPI Registry.