Active NPI
Therasa Miles-Greasley, MACP, MPH, LPC, LMHC
- Mental Health Counselor
- Honolulu, HI
National Provider Identifier
1326362575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 602
- Practice address
- 500 Ala Moana Blvd
Honolulu, HI 96813-4920 - Phone
- (323) 205-7088
- Fax
- (833) 419-0181
- NPI assigned
- Mar 17, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 195158 | AK | |
| Professional Counselor | 101YP2500X | 2773 | OK | |
| Mental Health Counselor | 101YM0800X | 602 | HI | Primary |
Addresses
Primary practice location
500 Ala Moana Blvd
Honolulu, HI 96813-4920
Mailing address
527 NW 23Rd St # 175
Oklahoma City, OK 73103-1515
Phone (405) 501-0098
Other practice location 1
527 NW 23rd St Ste 175
Oklahoma City, OK 73103-1515
Phone (405) 923-0141
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 602 | HI | MD | Mental Health Counselor |
| 195158 | AK | MD | Professional Counselor |
| 2773 | OK | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705622400000",
"number": "1326362575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "527 NW 23RD ST # 175",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731031515",
"telephone_number": "405-501-0098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 ALA MOANA BLVD",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968134920",
"telephone_number": "323-205-7088",
"fax_number": "833-419-0181"
}
],
"practiceLocations": [
{
"address_1": "527 NW 23rd St Ste 175",
"address_purpose": "LOCATION",
"city": "Oklahoma City",
"state": "OK",
"postal_code": "731031515",
"country_code": "US",
"telephone_number": "405-923-0141",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MILES-GREASLEY",
"first_name": "THERASA",
"credential": "MACP, MPH, LPC, LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-03-17",
"last_updated": "2024-01-19",
"certification_date": "2024-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AK",
"license": "195158",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OK",
"license": "2773",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "HI",
"license": "602",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.