Active NPI
Colleen Nobles, LCSW
- Clinical Social Worker
- Honolulu, HI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 4429
- Practice address
- 1441 Ala Moana Blvd Ste 1600
Honolulu, HI 96814 - Phone
- (808) 432-7600
- NPI assigned
- Jul 9, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Clinical Social Worker | 1041C0700X | 4429 | HI | Primary |
Addresses
Primary practice location
1441 Ala Moana Blvd Ste 1600
Honolulu, HI 96814
Mailing address
1222 Ala Kapuna St Apt 713
Honolulu, HI 96819-4640
Phone (619) 319-7129
Other practice location 1
8910 Clairemont Mesa Blvd
San Diego, CA 92123-1104
Phone (858) 514-5162
Other names 1
- Colleen Yian-Yang Law
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/interconnect-prodhim/wcf/epic.community.hie/xcpdrespondinggateways | Health Information Exchange (HIE) | |
| SOAP URL | https://careepicwest.kp.org:14430/interconnect-prodhim/wcf/epic.community.hie/xcpdrespondinggateways | Health Information Exchange (HIE) |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4429 | HI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaiser Foundation Health Plan, Inc | Current | Accepting new patients | |
| Kaiser Foundation Health Plan Inc | Current | Accepting new patients | |
| Kaiser Foundation Health Plan Inc | Current | Accepting new patients |
Locations
711 Kapiolani Blvd
Honolulu, HI 96813
Phone (808) 432-5312
3288 Moanalua Rd
Honolulu, HI 96819
Phone (808) 265-9205
599 Farrington Hwy
Kapolei, HI 96707
Phone (808) 432-3600
Organizations & group practices 3
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.
-
- Radiology Clinic/Center
- Honolulu, HI
- NPI 1063515567
-
- Clinical Medical Laboratory
- Kaneohe, HI
- NPI 1568477016
-
- Rural Health Clinic/Center
- Kahuku, HI
- NPI 1245773936
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615939200000",
"number": "1194131201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1222 ALA KAPUNA ST APT 713",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968194640",
"telephone_number": "619-319-7129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1441 ALA MOANA BLVD STE 1600",
"city": "HONOLULU",
"state": "HI",
"postal_code": "96814",
"telephone_number": "808-432-7600"
}
],
"practiceLocations": [
{
"address_1": "8910 Clairemont Mesa Blvd",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921231104",
"country_code": "US",
"telephone_number": "858-514-5162",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NOBLES",
"first_name": "COLLEEN",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-07-09",
"last_updated": "2021-03-17",
"certification_date": "2021-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "HI",
"license": "4429",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/interconnect-prodhim/wcf/epic.community.hie/xcpdrespondinggateways",
"affiliation": "N",
"endpointDescription": "carequality",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "8910 Clairemont Mesa Blvd",
"city": "San Diego",
"state": "CA",
"country_code": "US",
"postal_code": "921231104",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/interconnect-prodhim/wcf/epic.community.hie/xcpdrespondinggateways",
"affiliation": "N",
"endpointDescription": "qualitycare",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "1441 Ala Moana Blvd Ste 1600",
"city": "Honolulu",
"state": "HI",
"country_code": "US",
"postal_code": "96814",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "COLLEEN",
"last_name": "LAW",
"middle_name": "YIAN-YANG",
"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 Mar 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.