Active NPI
Sara Ebesugawa
- Mental Health Counselor
- Hilo, HI
National Provider Identifier
1265257703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 1221 Kilauea Ave Ste 60a
Hilo, HI 96720-4264 - Phone
- (808) 854-4396
- NPI assigned
- Nov 19, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
1221 Kilauea Ave Ste 60a
Hilo, HI 96720-4264
Mailing address
332 Luakaha St
Hilo, HI 96720-7702
Phone (808) 854-4396
Other practice location 1
1221 Kilauea Ave Ste 70
Hilo, HI 96720-4264
Phone (808) 854-4396
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731974400000",
"number": "1265257703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "332 LUAKAHA ST",
"city": "HILO",
"state": "HI",
"postal_code": "967207702",
"telephone_number": "808-854-4396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1221 KILAUEA AVE STE 60A",
"city": "HILO",
"state": "HI",
"postal_code": "967204264",
"telephone_number": "808-854-4396"
}
],
"practiceLocations": [
{
"address_1": "1221 Kilauea Ave Ste 70",
"address_purpose": "LOCATION",
"city": "Hilo",
"state": "HI",
"postal_code": "967204264",
"country_code": "US",
"telephone_number": "808-854-4396",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EBESUGAWA",
"first_name": "SARA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-11-19",
"last_updated": "2024-11-19",
"certification_date": "2024-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hilo, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.