Kualoli Counseling & Psychotherapy, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

KUALOLI COUNSELING & PSYCHOTHERAPY, LLC

Doing business as

Shanti Kay Manzano, LCSW

Practice address

5476 Koloa Road, 2F
Koloa, HI 96756-9675

Phone

(808) 639-7255

NPI assigned

Dec 8, 2021

Last updated

Dec 8, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shanti Kay Manzano, LCSWNPI 1043549637

Title

Owner/Provider

Phone

(808) 639-7255

Specialties & licenses 1

Addresses

Other names 1

• Shanti Kay Manzano, LCSW Doing business as

Locations

Practitioners 1

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.

• Shanti Kay Manzano, MSW, LCSW

  • Clinical Social Worker
  • Koloa, HI
  • NPI 1043549637
  NPD Authorized official

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

{
    "created_epoch": "1638921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638921600000",
    "number": "1376202218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1075",
            "city": "KOLOA",
            "state": "HI",
            "postal_code": "967561075",
            "telephone_number": "808-639-7255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5476 KOLOA ROAD, 2F",
            "city": "KOLOA",
            "state": "HI",
            "postal_code": "967569675",
            "telephone_number": "808-639-7255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KUALOLI COUNSELING & PSYCHOTHERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-08",
        "last_updated": "2021-12-08",
        "certification_date": "2021-11-30",
        "status": "A",
        "authorized_official_last_name": "MANZANO",
        "authorized_official_first_name": "SHANTI",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "808-639-7255",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shanti Kay Manzano, LCSW",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2021; 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.