Teri-Ann Kinimaka, LCSW, CSAC,CCJP, SAP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW-3383 Issued in HI

Practice address

750 Alewa Dr
Honolulu, HI 96817-1533

Phone

(808) 392-4813

Fax

(808) 590-2328

NPI assigned

Dec 11, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Aloha Psychotherapy LLC

  • Clinical Social Worker
  • Honolulu, HI
  • NPI 1710840756
  NPD Authorized official

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666656000000",
    "number": "1316007610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 ALEWA DR",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968171533",
            "telephone_number": "808-392-4813",
            "fax_number": "808-590-2328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 ALEWA DR",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968171533",
            "telephone_number": "808-392-4813",
            "fax_number": "808-590-2328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINIMAKA",
        "first_name": "TERI-ANN",
        "credential": "LCSW, CSAC,CCJP, SAP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "HI",
            "license": "CCDP-D 110-11",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "HI",
            "license": "SAP - 20478",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "HI",
            "license": "CCJP  330-11",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "HI",
            "license": "CSAC 1687-12",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "HI",
            "license": "LCSW-3383",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "627119",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lana Joy Kinghan
• Kings Dental Health Services
• Katherine W. Kingsley, MD
• Andrew K. N. Kinimaka, MD
• Mai Kinimaka, APRN-RX
• Kinohi Mental Health, LLC
• Leslie J Kinoshita-Lee, DPT
• Ellen Yu Kinoshita, LCSW
• Ren Masami Kinoshita, D.O.
• Michael Wade Kinshella, RN

• Clinical Social Worker in Honolulu, HI
• Providers in Honolulu, 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 Oct 25, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.