Individual provider Active NPI

Shannon N Hayes, PSYD, LMHC, LPC

  • Mental Health Counselor
  • Pearl City, HI
National Provider Identifier
1205044872
Registry record updated Sep 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
482 Issued in HI
Practice address
941 Kamehameha Hwy Ste 204
Pearl City, HI 96782-2516
Phone
(832) 661-6565
Fax
(808) 720-6239
NPI assigned
May 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Professional Counselor 101YP2500X 538 AK
Mental Health Counselor 101YM0800X 482 HI Primary

Addresses

Primary practice location

941 Kamehameha Hwy Ste 204
Pearl City, HI 96782-2516

Mailing address

PO Box 700305
Kapolei, HI 96709-0305
Phone (832) 661-6565

Other practice location 1

1117 26th Ave Apt 1
Fairbanks, AK 99701-5604
Phone (832) 661-6565

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
482HIMDMental Health Counselor
538AKMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aspects of Life Counseling Services PastSince Dec 26, 2021 Accepting new patients

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": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538006400000",
    "number": "1205044872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 700305",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967090305",
            "telephone_number": "832-661-6565",
            "fax_number": "808-720-6239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "941 KAMEHAMEHA HWY STE 204",
            "city": "PEARL CITY",
            "state": "HI",
            "postal_code": "967822516",
            "telephone_number": "832-661-6565",
            "fax_number": "808-720-6239"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1117 26th Ave Apt 1",
            "address_purpose": "LOCATION",
            "city": "Fairbanks",
            "state": "AK",
            "postal_code": "997015604",
            "country_code": "US",
            "telephone_number": "832-661-6565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAYES",
        "first_name": "SHANNON",
        "middle_name": "N",
        "credential": "PSYD, LMHC, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-18",
        "last_updated": "2018-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AK",
            "license": "538",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "HI",
            "license": "482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearl City, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2018; 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.