Individual provider Active NPI

Katherine Ann Kirk, MFT

  • Marriage & Family Therapist
  • Honolulu, HI
National Provider Identifier
1235276080
Registry record updated Apr 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT396 Issued in HI
Practice address
60 N Beretania Street
2402
Honolulu, HI 96817-4760
Phone
(808) 215-9174
Fax
(808) 465-3261
NPI assigned
Jan 31, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC297 CA
Marriage & Family Therapist 106H00000X MFC46475 CA
Marriage & Family Therapist 106H00000X MFT396 HI Primary

Addresses

Primary practice location

60 N Beretania Street
2402
Honolulu, HI 96817-4760

Mailing address

60 N Beretania Street
2402
Honolulu, HI 96817-4760
Phone (808) 215-9174

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
LPC297CAMDProfessional Counselor
MFC46475CAMDMarriage & Family Therapist
MFT396HIMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617321600000",
    "number": "1235276080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 N BERETANIA STREET",
            "address_2": "2402",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968174760",
            "telephone_number": "808-215-9174",
            "fax_number": "707-313-9521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 N BERETANIA STREET",
            "address_2": "2402",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968174760",
            "telephone_number": "808-215-9174",
            "fax_number": "808-465-3261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRK",
        "first_name": "KATHERINE",
        "middle_name": "ANN",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2021-04-02",
        "certification_date": "2021-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "LPC297",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC46475",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "HI",
            "license": "MFT396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 2, 2021; 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.