Individual provider Active NPI

Laura Acevedo, MACP LMHC

  • Mental Health Counselor
  • Hilo, HI
National Provider Identifier
1407154016
Registry record updated Mar 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MHC247 Issued in HI
Practice address
32 Kinoole St
Ste 103
Hilo, HI 96720-2469
Phone
(808) 443-4169
NPI assigned
Mar 5, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2011

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 MHC247 HI Primary

Addresses

Primary practice location

32 Kinoole St
Ste 103
Hilo, HI 96720-2469

Mailing address

100 Oliana St
Hilo, HI 96720-1642
Phone (808) 443-4169

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
MHC247HIMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1299283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299283200000",
    "number": "1407154016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 OLIANA ST",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967201642",
            "telephone_number": "808-443-4169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 KINOOLE ST",
            "address_2": "STE 103",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202469",
            "telephone_number": "808-443-4169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACEVEDO",
        "first_name": "LAURA",
        "name_prefix": "Ms.",
        "credential": "MACP LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-05",
        "last_updated": "2011-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "HI",
            "license": "MHC247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilo, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2011; 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.