Individual provider Active NPI

Annalise Ferreira-Locklear, LMHC, CSAC

  • Mental Health Counselor
  • Waianae, HI
National Provider Identifier
1437782158
Registry record updated Jan 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
641 Issued in HI
Practice address
86-260 Farrington Hwy
Waianae, HI 96792-3128
Phone
(808) 697-3225
NPI assigned
Feb 20, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2022

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 641 HI Primary

Addresses

Primary practice location

86-260 Farrington Hwy
Waianae, HI 96792-3128

Mailing address

86-260 Farrington Hwy
Waianae, HI 96792-3128

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address aferreira@wcchc.com Waianae Coast Comprehensive Health Center

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240115000798 HI Practitioner - Mental Health Counselor 4789036831 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Imua Health Group LLCGroup PAC ID 4082042650, 15 clinicians

Practice addresses (Care Compare)

86-260 Farringtion Hwy
Waianae, HI 96792-3128
Phone (808) 697-3300

99 -080 Kauhale St
Suite C20
Aiea, HI 96701-4114
Phone (808) 953-4682

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
641HIMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Imua Health Group, LLC Mental Health CurrentSince Dec 1, 2023 Accepting new patients
Waianae District Comprehensive Health and Hospital Board, Inc CurrentSince Feb 28, 2024 Accepting new patients
Waianae District Comprehensive Health and Hospital Board, Incorporated CurrentSince Feb 28, 2024 Accepting new patients
Maulihiwa Wellness, LLC PastSince Jun 11, 2019 Accepting new patients
Imua Heart PastSince Jul 2, 2023 Accepting new patients

Locations

99-080 Kauhale St
Ste C20
Aiea, HI 96701
Phone (808) 320-1025

99-080 Kauhale St
Ste C20
Aiea, HI 96701
Phone (808) 320-1025

46-005 Kawa St
Ste 203
Kaneohe, HI 96744
Phone (808) 247-9616

86-260 Farrington Hwy
Waianae, HI 96792
Phone (808) 696-7081

Interoperability endpoints

  • Direct secure messaging: annalise.ferreira.p1@direct.wcchc.nextgenshare.com

Organizations & group practices 5

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": "1582156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642377600000",
    "number": "1437782158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86-260 FARRINGTON HWY",
            "city": "WAIANAE",
            "state": "HI",
            "postal_code": "967923128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86-260 FARRINGTON HWY",
            "city": "WAIANAE",
            "state": "HI",
            "postal_code": "967923128",
            "telephone_number": "808-697-3225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERREIRA-LOCKLEAR",
        "first_name": "ANNALISE",
        "credential": "LMHC, CSAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-20",
        "last_updated": "2022-01-17",
        "certification_date": "2022-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "HI",
            "license": "641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aferreira@wcchc.com",
            "affiliation": "Y",
            "affiliationName": "Waianae Coast Comprehensive Health Center",
            "address_1": "86-260 Farrington Hwy",
            "city": "Waianae",
            "state": "HI",
            "country_code": "US",
            "postal_code": "967923128",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Waianae, HI

Sources for this page

Verify at the official NPI Registry.