Individual provider Active NPI

Gary Steven Replogle, M.ED, CSAC, LMHC

  • Addiction (Substance Use Disorder) Counselor
  • Hilo, HI
National Provider Identifier
1245488063
Registry record updated Oct 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Practice address
234 Waianuenue Ave
Suite 107
Hilo, HI 96720-2418
Phone
(808) 217-7979
Fax
(808) 217-7979
NPI assigned
Sep 4, 2008
Last updated
Oct 16, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X NU Primary

Addresses

Primary practice location

234 Waianuenue Ave
Suite 107
Hilo, HI 96720-2418

Mailing address

PO Box 55
Honomu, HI 96728-0055
Phone (808) 963-6106

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
I20250722001975 HI Practitioner - Mental Health Counselor 0648786152 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Root 2 Rise CooperativeGroup PAC ID 1759896087, 9 clinicians

Practice addresses (Care Compare)

80 Pauahi St
Suite 101
Hilo, HI 96720-3043
Phone (831) 252-3266

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

Practice roles

OrganizationSpecialtyStatusNew patients
Root 2 Rise Cooperative CurrentSince Jun 1, 2025 Accepting new patients

Locations

80 Pauahi St
Ste 101
Hilo, HI 96720
Phone (808) 531-7222

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": "1220486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350345600000",
    "number": "1245488063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 55",
            "city": "HONOMU",
            "state": "HI",
            "postal_code": "967280055",
            "telephone_number": "808-963-6106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 WAIANUENUE AVE",
            "address_2": "SUITE 107",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202418",
            "telephone_number": "808-217-7979",
            "fax_number": "808-217-7979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REPLOGLE",
        "first_name": "GARY",
        "middle_name": "STEVEN",
        "credential": "M.ED, CSAC, LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-04",
        "last_updated": "2012-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilo, HI

Sources for this page

Verify at the official NPI Registry.