Active NPI
Maoli Ola Integrated Care, LLC
- Counselor
- Chandler, AZ
National Provider Identifier
1336844422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Legal business name
- MAOLI OLA INTEGRATED CARE, LLC
- Practice address
- 11148 E Victoria St
Chandler, AZ 85248-7811 - Phone
- (480) 356-3271
- NPI assigned
- Mar 30, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Dyanna Leolani Ah Quin, DBH
- Title
- Ceo
- Phone
- (480) 356-3271
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary | ||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Mental Health Counselor | 101YM0800X | |||
| Social Worker | 104100000X | |||
| Clinical Social Worker | 1041C0700X |
Addresses
Primary practice location
11148 E Victoria St
Chandler, AZ 85248-7811
Mailing address
11148 E Victoria St
Chandler, AZ 85248-7811
Phone (480) 356-3271
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680134400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1681516800000",
"number": "1336844422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11148 E VICTORIA ST",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852487811",
"telephone_number": "480-356-3271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11148 E VICTORIA ST",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852487811",
"telephone_number": "480-356-3271"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAOLI OLA INTEGRATED CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-30",
"last_updated": "2023-04-15",
"certification_date": "2023-04-15",
"status": "A",
"authorized_official_last_name": "AH QUIN",
"authorized_official_first_name": "DYANNA",
"authorized_official_middle_name": "LEOLANI",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "480-356-3271",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DBH"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.