Birdie Ann Bagor, LMHC
Individual provider Active NPI Mental Health Counselor · Ewa Beach, HI
NPI 1245042100 · NPPES record last updated Jan 27, 2025
Key facts
- NPI
- 1245042100
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- MHC-746 (HI)
- Practice address
- 91-1514 Kaieleele St
Ewa Beach, HI 96706-4615 - Phone
- (808) 277-8021
- NPI assigned
- Jan 27, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MHC-746 | HI | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MHC-746 | HI | Yes |
Addresses
Primary practice location
91-1514 Kaieleele St
Ewa Beach, HI 96706-4615
Mailing address
91-1514 Kaieleele St
Ewa Beach, HI 96706-4615
Phone (808) 277-8021
Other providers in Ewa Beach, HI
- Aurora C Mariani MD
- Sidney Malia Ayakawa
- Gina Bacal
- Jonelee Badua
- Nina Myra Badua
- Elizabeth Bain
- Aldhen Bala
- Clara Maria Balha
- Charis Baluyot
- Sidney Bandy
All providers in Ewa Beach, HI · Mental Health Counselor in Hawaii
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 27, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.