Organization Active NPI

Make a Difference Counseling Services

  • Community/Behavioral Health Agency
  • Kapolei, HI
National Provider Identifier
1457896193
Registry record updated Jan 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
MHC-420 Issued in HI
Legal business name
MAKE A DIFFERENCE COUNSELING SERVICES
Practice address
840 Kakala St Apt 301
Kapolei, HI 96707-4608
Phone
(808) 206-0806
NPI assigned
Jan 5, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2017

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

Authorized official

Name
Heather Dionne Faustin, MSCP, LMHC, NCC
Title
Manager/Mental Health Counselor
Phone
(808) 206-0806

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X MHC-420 HI Primary

Addresses

Primary practice location

840 Kakala St Apt 301
Kapolei, HI 96707-4608

Mailing address

840 Kakala St Apt 301
Kapolei, HI 96707-4608
Phone (808) 206-0806

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1483574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483574400000",
    "number": "1457896193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 KAKALA ST APT 301",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967074608",
            "telephone_number": "808-206-0806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 KAKALA ST APT 301",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967074608",
            "telephone_number": "808-206-0806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAKE A DIFFERENCE COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-05",
        "last_updated": "2017-01-05",
        "status": "A",
        "authorized_official_last_name": "FAUSTIN",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "DIONNE",
        "authorized_official_title_or_position": "MANAGER/MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "808-206-0806",
        "authorized_official_credential": "MSCP, LMHC, NCC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "HI",
            "license": "MHC-420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kapolei, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2017; 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.