Marisa Misae Kamada – Marriage & Family Therapist

Key facts

NPI: 1295010205
Entity type: Individual (NPI type 1)
Primary specialty: Marriage & Family Therapist 106H00000X
License: 454 (HI)
Practice address: 438 Hobron LN Ste 315
Honolulu, HI 96815-1229
Phone: (808) 779-2575
Fax: (808) 888-3809
NPI assigned: Oct 21, 2011
Sex: Female
Sole proprietor: Yes

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 and National Provider Directory roles.

Ayame Counseling Service LLC Marriage & Family Therapist · Honolulu, HI · NPI 1841900974

NPD Authorized official MARRIAGE & FAMILY THERAPIST

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file
Opted out of Medicare: Yes, effective Apr 1, 2024 through Apr 1, 2028

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
454	HI	MD	Mental Health Counselor

Practice roles

Organization	Specialty	Status	New patients
Ayame Counseling Service LLC	Marriage & Family Therapist	Current since Dec 6, 2022	Accepting new patients

Locations

1221 Kapiolani Blvd
Ste 248
Honolulu, HI 96814
Phone (808) 372-1787

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Marriage & Family Therapist	106H00000X	454	HI	Yes

Addresses

Primary practice location

438 Hobron LN Ste 315
Honolulu, HI 96815-1229

Mailing address

609 Wyllie St
Honolulu, HI 96817-1308
Phone (808) 779-2575

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 15, 2016.

{
    "created_epoch": "1319155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465948800000",
    "number": "1295010205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 WYLLIE ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968171308",
            "telephone_number": "808-779-2575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "438 HOBRON LN STE 315",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968151229",
            "telephone_number": "808-779-2575",
            "fax_number": "808-888-3809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMADA",
        "first_name": "MARISA",
        "middle_name": "MISAE",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-21",
        "last_updated": "2016-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "HI",
            "license": "454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

All providers in Honolulu, HI · Marriage & Family Therapist in Hawaii

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 15, 2016. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Opt Out Affidavits (CMS).
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.