Individual provider Active NPI

Alissa Gino, LMHC

  • Mental Health Counselor
  • Honolulu, HI
National Provider Identifier
1295063048
Registry record updated Jul 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
239 Issued in HI
Practice address
1154 Fort Street Mall Ste 206
Honolulu, HI 96813-2712
Phone
(808) 375-9867
NPI assigned
Dec 4, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 239 HI Primary

Addresses

Primary practice location

1154 Fort Street Mall Ste 206
Honolulu, HI 96813-2712

Mailing address

1154 Fort Street Mall Ste 206
Honolulu, HI 96813-2712
Phone (808) 375-9867

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
I20240502003447 HI Order and Referring Only - Mental Health Counselor 1254771595

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1259884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311724800000",
    "number": "1295063048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1154 FORT STREET MALL STE 206",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132712",
            "telephone_number": "808-375-9867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1154 FORT STREET MALL STE 206",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132712",
            "telephone_number": "808-375-9867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GINO",
        "first_name": "ALISSA",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-04",
        "last_updated": "2011-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "HI",
            "license": "239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.