Individual provider Active NPI

Vinnesha K Porter, LMHC

  • Mental Health Counselor
  • Honolulu, HI
National Provider Identifier
1235699463
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MHC-559 Issued in HI
Practice address
1221 Kapiolani Blvd PH 50
Honolulu, HI 96814-3518
Phone
(808) 260-9893
Fax
(808) 748-0433
NPI assigned
Mar 22, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MHC-559 HI Primary

Addresses

Primary practice location

1221 Kapiolani Blvd PH 50
Honolulu, HI 96814-3518

Mailing address

1221 Kapiolani Blvd PH 50
Honolulu, HI 96814-3518
Phone (808) 260-9893

Other practice location 1

350 Sumner St
Honolulu, HI 96817-5088
Phone (808) 909-2003

Other practice location 2

546 Kaaahi St
Honolulu, HI 96817-4630
Phone (808) 721-0294

Other names 1

  • Vinnesha K Bertola Former name

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
I20241021001473 HI Practitioner - Mental Health Counselor 9537691175 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MHC-559HIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
IHS the Institute for Human Services Inc CurrentSince Aug 15, 2024 Accepting new patients

Locations

350 Sumner St
Honolulu, HI 96817
Phone (808) 447-2900

650 Iwilei Rd
Ste 202
Honolulu, HI 96817

546 Kaaahi St
Honolulu, HI 96817
Phone (808) 447-2863

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": "1553212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1235699463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 KAPIOLANI BLVD PH 50",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968143518",
            "telephone_number": "808-260-9893",
            "fax_number": "808-748-0433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 KAPIOLANI BLVD PH 50",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968143518",
            "telephone_number": "808-260-9893",
            "fax_number": "808-748-0433"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "350 Sumner St",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968175088",
            "country_code": "US",
            "telephone_number": "808-909-2003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "546 Kaaahi St",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968174630",
            "country_code": "US",
            "telephone_number": "808-721-0294",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PORTER",
        "first_name": "VINNESHA",
        "middle_name": "K",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-22",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "HI",
            "license": "MHC-559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VINNESHA",
            "last_name": "BERTOLA",
            "middle_name": "K",
            "credential": "LMHC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.