Active NPI
Claudette Timas
- Mental Health Counselor
- Honolulu, HI
National Provider Identifier
1447630843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 875 Waimanu St Ste 612
Honolulu, HI 96813-5267 - Phone
- (808) 791-6713
- Fax
- (808) 791-6081
- NPI assigned
- Jun 2, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary | ||
| Mental Health Counselor | 101YM0800X | 7686 | MA |
Addresses
Primary practice location
875 Waimanu St Ste 612
Honolulu, HI 96813-5267
Mailing address
875 Waimanu St Ste 612
Honolulu, HI 96813-5267
Phone (808) 791-6713
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
| License | State | Type | Specialty |
|---|---|---|---|
| 7686 | MA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447372800000",
"number": "1447630843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "875 WAIMANU ST STE 612",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968135267",
"telephone_number": "808-791-6713",
"fax_number": "808-791-6081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "875 WAIMANU ST STE 612",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968135267",
"telephone_number": "808-791-6713",
"fax_number": "808-791-6081"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIMAS",
"first_name": "CLAUDETTE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-02",
"last_updated": "2015-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "7686",
"primary": false
}
],
"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 Nov 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.