Individual provider Active NPI

Shea Yuki Nakamura, LMFT

  • Marriage & Family Therapist
  • Aiea, HI
National Provider Identifier
1194016998
Registry record updated Oct 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
590 Issued in HI
Practice address
98-211 Pali Momi St Ste 635
Aiea, HI 96701
Phone
(808) 650-4678
Fax
(833) 657-6526
NPI assigned
Apr 27, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 85661 CA
Marriage & Family Therapist 106H00000X 590 HI Primary

Addresses

Primary practice location

98-211 Pali Momi St Ste 635
Aiea, HI 96701

Mailing address

PO Box 240991
Honolulu, HI 96824-0991
Phone (808) 650-4678

Other practice location 1

1111 Bishop St Ste 512
Honolulu, HI 96813
Phone (808) 782-1678

Other practice location 2

401 Kamakee St Ste 405
Honolulu, HI 96814-4261
Phone (808) 650-4678

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

LicenseStateTypeSpecialty
85661CAMDClinical Social Worker
590HIMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Shea Nakamura, MFT, LLC Marriage & Family Therapist CurrentSince Jul 31, 2022 Accepting new patients

Locations

401 Kamakee St
Ste 405
Honolulu, HI 96814
Phone (808) 341-4338

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": "1303862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569888000000",
    "number": "1194016998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 240991",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968240991",
            "telephone_number": "808-650-4678",
            "fax_number": "833-657-6526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98-211 PALI MOMI ST STE 635",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "96701",
            "telephone_number": "808-650-4678",
            "fax_number": "833-657-6526"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 Bishop St Ste 512",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "96813",
            "country_code": "US",
            "telephone_number": "808-782-1678",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 Kamakee St Ste 405",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968144261",
            "country_code": "US",
            "telephone_number": "808-650-4678",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAKAMURA",
        "first_name": "SHEA",
        "middle_name": "YUKI",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-27",
        "last_updated": "2019-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "85661",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "HI",
            "license": "590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiea, 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.