Active NPI
Veronica Brockway
- Mental Health Counselor
- Hilo, HI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 614 Kilauea Ave Ste 25
Hilo, HI 96720-4253 - Phone
- (808) 731-4336
- NPI assigned
- Apr 25, 2017
- Last updated
- Mar 9, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | HI | Primary | |
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Behavior Analyst | 103K00000X | HI |
Addresses
Primary practice location
614 Kilauea Ave Ste 25
Hilo, HI 96720-4253
Mailing address
614 Kilauea Ave Ste 25
Hilo, HI 96720-4253
Phone (808) 731-4336
Other practice location 1
88 Kanoelehua Ave Ste A204
Hilo, HI 96720-4670
Phone (808) 933-0610
Other practice location 2
69 Railroad Ave Ste 3
Hilo, HI 96720
Phone (808) 936-6833
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NT Therapy, LLC | Mental Health | Current | Accepting new patients |
| Dept. of Health-Hawaii-Child and Adolescent Mental Health Division | Past | Accepting new patients | |
| University Clinical Education & Research Associates | Past | Accepting new patients |
Locations
614 Kilauea Ave
Ste 25
Hilo, HI 96720
Phone (808) 731-4336
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Counselor
- Hilo, HI
- NPI 1740916857
-
- Community/Behavioral Health Agency
- Hilo, HI
- NPI 1518234582
-
dba University Health Partners of Hawaii
- Clinical Medical Laboratory
- Honolulu, HI
- NPI 1659971489
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646784000000",
"number": "1407381668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "614 KILAUEA AVE STE 25",
"city": "HILO",
"state": "HI",
"postal_code": "967204253",
"telephone_number": "808-731-4336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "614 KILAUEA AVE STE 25",
"city": "HILO",
"state": "HI",
"postal_code": "967204253",
"telephone_number": "808-731-4336"
}
],
"practiceLocations": [
{
"address_1": "88 Kanoelehua Ave Ste A204",
"address_purpose": "LOCATION",
"city": "Hilo",
"state": "HI",
"postal_code": "967204670",
"country_code": "US",
"telephone_number": "808-933-0610",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "69 Railroad Ave Ste 3",
"address_purpose": "LOCATION",
"city": "Hilo",
"state": "HI",
"postal_code": "96720",
"country_code": "US",
"telephone_number": "808-936-6833",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROCKWAY",
"first_name": "VERONICA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-25",
"last_updated": "2022-03-09",
"certification_date": "2022-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "HI",
"license": null,
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "HI",
"license": null,
"primary": false
}
],
"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 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.