Organization Active NPI

Malama Serenity Psychotherapy LLC

Doing business as Malama Serenity Psychotherapy

  • Mental Health Counselor
  • Aiea, HI
National Provider Identifier
1336983535
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MALAMA SERENITY PSYCHOTHERAPY LLC
Doing business as
Malama Serenity Psychotherapy
Practice address
99-115 Aiea Heights Dr Ste 219a
Aiea, HI 96701-3974
Phone
(808) 909-2006
Fax
(808) 909-3818
NPI assigned
Jun 21, 2024
Last updated
Jan 28, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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

Authorized official

Name
Miss Joanne Serenity Humphreys, LMFTNPI 1154727170
Title
Owner
Phone
(808) 909-2006

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

99-115 Aiea Heights Dr Ste 219a
Aiea, HI 96701-3974

Mailing address

99-115 Aiea Heights Dr Ste 219a
Aiea, HI 96701-3974
Phone (808) 909-2006

Other practice location 1

438 Hobron Ln Ph 4
Honolulu, HI 96815-1238
Phone (808) 909-2006

Other practice location 2

6600 Kalanianaole Hwy Ste 114
Honolulu, HI 96825-1282
Phone (808) 909-2006

Other names 1

  • Malama Serenity Psychotherapy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250217001223 HI Part B Supplier - Clinic/Group Practice 4688104961 Receives reassigned benefits from 3 practitioners
Practice locations: Pearl City, HI; Honolulu, HI; Aiea, HI

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1718928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738022400000",
    "number": "1336983535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99-115 AIEA HEIGHTS DR STE 219A",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967013974",
            "telephone_number": "808-909-2006",
            "fax_number": "808-909-3818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99-115 AIEA HEIGHTS DR STE 219A",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967013974",
            "telephone_number": "808-909-2006",
            "fax_number": "808-909-3818"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "438 Hobron Ln Ph 4",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968151238",
            "country_code": "US",
            "telephone_number": "808-909-2006",
            "fax_number": "808-909-3818",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6600 Kalanianaole Hwy Ste 114",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968251282",
            "country_code": "US",
            "telephone_number": "808-909-2006",
            "fax_number": "808-909-3818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MALAMA SERENITY PSYCHOTHERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-21",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A",
        "authorized_official_last_name": "HUMPHREYS",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_middle_name": "SERENITY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-909-2006",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Malama Serenity Psychotherapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aiea, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.