Individual provider Active NPI

Holly Vashti George, LMHC

  • Mental Health Counselor
  • Honolulu, HI
National Provider Identifier
1316165269
Registry record updated Dec 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MHC-990 Issued in HI
Practice address
445 Seaside Ave Apt 3004
Honolulu, HI 96815-5534
Phone
(808) 798-6188
NPI assigned
Apr 23, 2007
Last updated
Dec 9, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2023

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 MHC-990 HI Primary

Addresses

Primary practice location

445 Seaside Ave Apt 3004
Honolulu, HI 96815-5534

Mailing address

348 Puuhale Rd # 444
Honolulu, HI 96819-3298
Phone (808) 798-6188

Other names 1

  • Holly Vashti Jones Former name

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
I20260324001824 HI Practitioner - Mental Health Counselor 3870077225 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Malama Serenity Psychotherapy LLCGroup PAC ID 4688104961, 3 clinicians

Practice addresses (Care Compare)

7192 Kalanianaole Hwy
Suite D214
Honolulu, HI 96825-1855
Phone (808) 909-2006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MHC-990HIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Malama Serenity Psychotherapy LLC Mental Health Current Accepting new patients

Locations

438 Hobron Ln
Ph 4
Honolulu, HI 96815
Phone (808) 909-2006

6600 Kalanianaole Hwy
Ste 114
Honolulu, HI 96825
Phone (808) 207-9800

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702080000000",
    "number": "1316165269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "348 PUUHALE RD # 444",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968193298",
            "telephone_number": "808-798-6188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 SEASIDE AVE APT 3004",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968155534",
            "telephone_number": "808-798-6188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "HOLLY",
        "middle_name": "VASHTI",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-23",
        "last_updated": "2023-12-09",
        "certification_date": "2023-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "HI",
            "license": "MHC-990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HOLLY",
            "last_name": "JONES",
            "middle_name": "VASHTI",
            "credential": "LMHC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.