Individual provider Active NPI

Glen Carner, MA, LMHC

  • Mental Health Counselor
  • Honolulu, HI
National Provider Identifier
1407023427
Registry record updated Jul 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
351 Issued in HI
Practice address
1888 Kalakaua Ave Ste C312
Honolulu, HI 96815-1550
Phone
(808) 494-6066
Fax
(808) 797-3643
NPI assigned
May 8, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 351 HI Primary

Addresses

Primary practice location

1888 Kalakaua Ave Ste C312
Honolulu, HI 96815-1550

Mailing address

1888 Kalakaua Ave Ste C312
Honolulu, HI 96815-1550
Phone (808) 494-6066

Other practice location 1

1888 Kalakaua Ave Ste C312
Honolulu, HI 96815-1550
Phone (559) 422-7637

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
351HIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Family and Addiction Counseling, LLC Mental Health Current Accepting new patients

Locations

1888 Kalakaua Ave
Ste C312
Honolulu, HI 96815
Phone (731) 394-0305

Organizations & group practices 1

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": "1210204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719964800000",
    "number": "1407023427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1888 KALAKAUA AVE STE C312",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968151550",
            "telephone_number": "808-494-6066",
            "fax_number": "808-797-3643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1888 KALAKAUA AVE STE C312",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968151550",
            "telephone_number": "808-494-6066",
            "fax_number": "808-797-3643"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1888 Kalakaua Ave Ste C312",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968151550",
            "country_code": "US",
            "telephone_number": "559-422-7637",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARNER",
        "first_name": "GLEN",
        "name_prefix": "Mr.",
        "credential": "MA, LMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-08",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "HI",
            "license": "351",
            "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 Jul 3, 2024; 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.