Christina M Cano-Young, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW-5018 Issued in HI

Practice address

PO Box 1034
Koloa, HI 96756-1034

Phone

(808) 353-1886

NPI assigned

Mar 7, 2020

Last updated

Sep 7, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 7

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OR, HI2 enrollments

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 2

Specialty

Clinical Social Worker

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Talkspace Provider Network PAGroup PAC ID 5799136701, 249 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: christina.canoyoung.p100@direct.wvp.nextgenshare.com
• Direct secure messaging: christinacy@jdhealthandwellness.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Talkspace Provider Network PA

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • New York, NY
  • NPI 1639814049

  HI, OR

  Medicare reassignment Care Compare group NPD
• Confederated Tribes of Siletz

  dba Siletz Community Health Clinic

  • Federally Qualified Health Center (FQHC)
  • Siletz, OR
  • NPI 1316040249
  Medicare reassignment NPD
• JD Health and Wellness Center, Inc

  • Naturopath
  • Salem, OR
  • NPI 1689918161

  Addiction (Substance Use Disorder)

  Medicare reassignment NPD
• Kaleidoscope Counseling, LLC

  • Community/Behavioral Health Agency
  • Koloa, HI
  • NPI 1083449086
  NPD Authorized official
• Confederated Tribes of Siletz

  dba Siletz Community Health Clinic

  • Federally Qualified Health Center (FQHC)
  • Lincoln City, OR
  • NPI 1306667845
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1583539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725667200000",
    "number": "1285269563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1034",
            "city": "KOLOA",
            "state": "HI",
            "postal_code": "967561034",
            "telephone_number": "808-353-1886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 1034",
            "city": "KOLOA",
            "state": "HI",
            "postal_code": "967561034",
            "telephone_number": "808-353-1886"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "608 Lancaster Dr SE",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "973175643",
            "country_code": "US",
            "telephone_number": "541-740-4251",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANO-YOUNG",
        "first_name": "CHRISTINA",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-07",
        "last_updated": "2024-09-07",
        "certification_date": "2024-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "HI",
            "license": "LCSW-5018",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "HI",
            "license": "LCSW-5018",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "L11218",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "HI",
            "license": "LCSW-5018",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "L11218",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "HI",
            "license": "LCSW-5018",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L11218",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Christinacy@jdhealthandwellness.com",
            "affiliation": "Y",
            "endpointDescription": "Business Email",
            "affiliationName": "JD Health and Wellness center, INC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "608 Lancaster Dr SE",
            "city": "Salem",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973175643",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Maria Briones, PH.D.
• Joseph W. Burris Jr., M.D., MPH
• Kimberly Capone
• Daniel S Choi, MD
• Creative Therapy, Inc.
• Daniel S Choi MD Professional Corporation
• Frank Joseph Davis, D.C.

• Clinical Social Worker in Koloa, HI
• Providers in Koloa, HI by specialty
• Clinical Social Worker in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.