Magnolia Family Therapy Center

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

MAGNOLIA FAMILY THERAPY CENTER

Practice address

540 Manawai St Apt 301
Kapolei, HI 96707-4541

Phone

(808) 953-5049

NPI assigned

Sep 8, 2023

Organization subpart

No

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

Authorized official

Name

Lauren SerkisNPI 1629403449

Title

Owner

Phone

(808) 953-5049

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lauren Gray McCartha Serkis, MSCP

  • Mental Health Counselor
  • San Jose, CA
  • NPI 1629403449
  NPD Authorized official

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

{
    "created_epoch": "1694131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694131200000",
    "number": "1407632037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 RICHEY PL",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302693644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 MANAWAI ST APT 301",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967074541",
            "telephone_number": "808-953-5049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA FAMILY THERAPY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-08",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A",
        "authorized_official_last_name": "SERKIS",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-953-5049"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Marie Macklin, RN
• Janna Marie Madeira, PSY.D.
• Bernardette Iyoko Madiro, LSW
• Vitae Trilles Magana, RN
• Melinda Ragas Magnayon Prado, REGISTERED NURSE
• Justin N R Magsanoc, PT, DPT
• Marsha Mahelona, LMT, COTA
• Larisa M. Mahns, PT
• Tiresa Maiava, RBT
• Emily K Makahi, LCSW

• Mental Health Counselor in Kapolei, HI
• Providers in Kapolei, HI by specialty
• Mental Health Counselor in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2023; 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.