Active NPI
Alexander Andreas Kiryakakis, LMHC
- Mental Health Counselor
- Hilo, HI
National Provider Identifier
1336767524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MHC-956
- Practice address
- 1135 Pohu St
Hilo, HI 96720-1657 - Phone
- (575) 223-6891
- NPI assigned
- Jul 14, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | T-CTL0211821 | NM | |
| Mental Health Counselor | 101YM0800X | MHC-956 | HI | Primary |
Addresses
Primary practice location
1135 Pohu St
Hilo, HI 96720-1657
Mailing address
1135 Pohu St
Hilo, HI 96720-1657
Phone (575) 223-6891
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 |
|---|---|---|---|
| MHC-956 | HI | MD | Mental Health Counselor |
| T-CTL0211821 | NM | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694995200000",
"number": "1336767524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1135 POHU ST",
"city": "HILO",
"state": "HI",
"postal_code": "967201657",
"telephone_number": "575-223-6891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1135 POHU ST",
"city": "HILO",
"state": "HI",
"postal_code": "967201657",
"telephone_number": "575-223-6891"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRYAKAKIS",
"first_name": "ALEXANDER",
"middle_name": "ANDREAS",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-07-14",
"last_updated": "2023-09-18",
"certification_date": "2023-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NM",
"license": "T-CTL0211821",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "HI",
"license": "MHC-956",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hilo, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.