Individual provider Active NPI

Angela Momilani Santiago Catekista, LCSW, CSAC

  • Clinical Social Worker
  • Kapolei, HI
National Provider Identifier
1346509247
Registry record updated Mar 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-3867 Issued in HI
Practice address
92-834 Kinohi PL Apt 13
Kapolei, HI 96707-1304
Phone
(808) 266-0609
NPI assigned
May 11, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1704-12 HI
Clinical Social Worker 1041C0700X LCSW-3867 HI Primary

Addresses

Primary practice location

92-834 Kinohi PL Apt 13
Kapolei, HI 96707-1304

Mailing address

92-834 Kinohi PL
Apt 13
Kapolei, HI 96707-1304
Phone (808) 266-0609

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

LicenseStateTypeSpecialty
1704-12HIMDAddiction (Substance Use Disorder) Counselor
LCSW-3867HIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Good Mood LLC CurrentSince Mar 12, 2023 Accepting new patients
Kinohi Mental Health, LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: angela.catekista.1@28780.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1336694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677888000000",
    "number": "1346509247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92-834 KINOHI PL",
            "address_2": "APT 13",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967071304",
            "telephone_number": "808-266-0609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92-834 KINOHI PL APT 13",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967071304",
            "telephone_number": "808-266-0609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CATEKISTA",
        "first_name": "ANGELA",
        "middle_name": "MOMILANI SANTIAGO",
        "name_prefix": "Mrs.",
        "credential": "LCSW, CSAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-11",
        "last_updated": "2023-03-04",
        "certification_date": "2023-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "HI",
            "license": "1704-12",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "HI",
            "license": "LCSW-3867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kapolei, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.

Verify at the official NPI Registry.