Individual provider Active NPI

Kristina Chance Shimokawa, LMFT

  • Counselor
  • Kahului, HI
National Provider Identifier
1255688198
Registry record updated Nov 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
660 Lono Ave
Kahului, HI 96732-2530
Phone
(808) 727-4185
NPI assigned
Aug 9, 2012
Last updated
Nov 13, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

660 Lono Ave
Kahului, HI 96732-2530

Mailing address

352 S High St
Wailuku, HI 96793-2104
Phone (415) 244-2446

Other practice location 1

3626 Balboa St
San Francisco, CA 94121-2604
Phone (415) 668-5955

Other names 1

  • Kristina Marilyn Chance Former name

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nautilus Counseling Hawaii LLC CurrentSince Apr 23, 2023 Accepting new patients

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": "1344470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573603200000",
    "number": "1255688198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "352 S HIGH ST",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967932104",
            "telephone_number": "415-244-2446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 LONO AVE",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "967322530",
            "telephone_number": "808-727-4185"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3626 Balboa St",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941212604",
            "country_code": "US",
            "telephone_number": "415-668-5955",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIMOKAWA",
        "first_name": "KRISTINA",
        "middle_name": "CHANCE",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-09",
        "last_updated": "2019-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTINA",
            "last_name": "CHANCE",
            "middle_name": "MARILYN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kahului, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2019; 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.