Alissa Rae Harris, LBA, LMHC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

227 Issued in HI

Practice address

161 S Wakea Ave
Kahului, HI 96732-1343

Phone

(808) 244-7467

NPI assigned

Apr 11, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Maui Integrated Therapy LLC

  • Behavior Analyst
  • Makawao, HI
  • NPI 1922870302
  NPD Authorized official
• Imua Family Services

  • Early Intervention Provider Agency
  • Kahului, HI
  • NPI 1871936617
  NPD (past)
• Kapiolani Medical Center for Women & Children

  dba Kapiolani Medical Center Outpatient Pharmacy

  • Community/Retail Pharmacy
  • Honolulu, HI
  • NPI 1841263720
  NPD (past)

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

{
    "created_epoch": "1523404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702339200000",
    "number": "1215434659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 MOLE PL",
            "city": "MAKAWAO",
            "state": "HI",
            "postal_code": "967689349",
            "telephone_number": "808-868-9536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 S WAKEA AVE",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "967321343",
            "telephone_number": "808-244-7467"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1102 Mole Pl",
            "address_purpose": "LOCATION",
            "city": "Makawao",
            "state": "HI",
            "postal_code": "967689349",
            "country_code": "US",
            "telephone_number": "808-868-9536",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "ALISSA",
        "middle_name": "RAE",
        "credential": "LBA, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-11",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "HI",
            "license": "MHC-845",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "HI",
            "license": "227",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1922870302",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hale Makua Health Services
• Hale O Moakaaka LLC
• Edie R Hamilton, PA-C
• Jeremy Hannum, PT
• Katrina Eileen Hansen-Schmitt, FNP-C
• Christy Elisabeth Hartman, FNP-BC
• Rene Harvey
• Robert S. Harvey, M.D.
• Earl Akio Hasegawa, D.D.S., M.S.
• Saundra R Hatch

• Behavior Analyst in Kahului, HI
• Providers in Kahului, HI by specialty
• Behavior Analyst in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2023; 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.