Organization Active NPI

Windward Family Therapy Center

  • Mental Health Counselor
  • Honolulu, HI
National Provider Identifier
1386071082
Registry record updated Oct 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
253 Issued in HI
Legal business name
WINDWARD FAMILY THERAPY CENTER
Practice address
1600 Kapiolani Blvd Ste 1306
Honolulu, HI 96814-3805
Phone
(808) 949-7444
NPI assigned
Sep 26, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2013

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

Authorized official

Name
Sheree Revilla
Title
MFT
Phone
(808) 949-7444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 253 HI Primary

Addresses

Primary practice location

1600 Kapiolani Blvd Ste 1306
Honolulu, HI 96814-3805

Mailing address

PO Box 37962
Honolulu, HI 96837-0962

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1380153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380672000000",
    "number": "1386071082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37962",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968370962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 KAPIOLANI BLVD STE 1306",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968143805",
            "telephone_number": "808-949-7444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDWARD FAMILY THERAPY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-26",
        "last_updated": "2013-10-02",
        "status": "A",
        "authorized_official_last_name": "REVILLA",
        "authorized_official_first_name": "SHEREE",
        "authorized_official_title_or_position": "MFT",
        "authorized_official_telephone_number": "808-949-7444"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "HI",
            "license": "253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2013; 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.