Organization Active NPI

Irecovered LLC

  • Addiction (Substance Use Disorder) Counselor
  • Pearl City, HI
National Provider Identifier
1366316754
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
IRECOVERED LLC
Practice address
803 Kamehameha Hwy Ste 309
Pearl City, HI 96782-2638
Phone
(401) 684-8051
NPI assigned
Sep 30, 2025
Last updated
Sep 30, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

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

Authorized official

Name
Edwin Johnson
Title
Director
Phone
(401) 684-8051

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X NU Primary
Mental Health Counselor 101YM0800X NU

Addresses

Primary practice location

803 Kamehameha Hwy Ste 309
Pearl City, HI 96782-2638

Mailing address

803 Kamehameha Hwy Ste 309
Pearl City, HI 96782-2638
Phone (401) 684-8051

National Provider Directory

National Provider Directory

Locations

803 Kamehameha Hwy
Ste 309
Pearl City, HI 96782
Phone (808) 456-5553

NPI Registry JSON

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

{
    "created_epoch": "1759190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759190400000",
    "number": "1366316754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 KAMEHAMEHA HWY STE 309",
            "city": "PEARL CITY",
            "state": "HI",
            "postal_code": "967822638",
            "telephone_number": "401-684-8051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 KAMEHAMEHA HWY STE 309",
            "city": "PEARL CITY",
            "state": "HI",
            "postal_code": "967822638",
            "telephone_number": "401-684-8051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRECOVERED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-30",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "401-684-8051"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearl City, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2025; 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.