Individual provider Active NPI

Shayna Skye Horie, LMFT

  • Marriage & Family Therapist
  • Wailuku, HI
National Provider Identifier
1215522446
Registry record updated May 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
687 Issued in HI
Practice address
447 Liholiho St Unit B
Wailuku, HI 96793-2613
Phone
(808) 222-6263
NPI assigned
Mar 9, 2021
Last updated
May 7, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 687 HI Primary

Addresses

Primary practice location

447 Liholiho St Unit B
Wailuku, HI 96793-2613

Mailing address

PO Box 427
Wailuku, HI 96793-0427
Phone (808) 222-6263

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240419000959 HI Practitioner - Marriage and Family Therapist 9739528035 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
687HIMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Play Therapy Maui LLC Marriage & Family Therapist CurrentSince Jan 1, 2024 Accepting new patients

Locations

2200 Main St
Ste 518
Wailuku, HI 96793
Phone (808) 280-3848

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1615248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620345600000",
    "number": "1215522446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 427",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967930427",
            "telephone_number": "808-222-6263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "447 LIHOLIHO ST UNIT B",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967932613",
            "telephone_number": "808-222-6263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORIE",
        "first_name": "SHAYNA",
        "middle_name": "SKYE",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-09",
        "last_updated": "2021-05-07",
        "certification_date": "2021-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "HI",
            "license": "687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wailuku, HI

Sources for this page

Verify at the official NPI Registry.