Shaun Jesse Kastelic, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MHC305 Issued in HI

Practice address

2207 Oahu Ave
Honolulu, HI 96822-2210

Phone

(971) 322-7871

NPI assigned

Aug 27, 2019

Last updated

Jun 12, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Mental Health Counselor

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Samaritan Counseling Center HawaiiGroup PAC ID 6507080918, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Samaritan Counseling Center Hawaii

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Honolulu, HI
  • NPI 1093904948
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1566864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591920000000",
    "number": "1467000257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46-315 IKIIKI ST",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967444036",
            "telephone_number": "971-322-7871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2207 OAHU AVE",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968222210",
            "telephone_number": "971-322-7871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASTELIC",
        "first_name": "SHAUN",
        "middle_name": "JESSE",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-27",
        "last_updated": "2020-06-12",
        "certification_date": "2020-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "HI",
            "license": "MHC305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL BOARD OF CERTIFIED COUNSELORS",
            "identifier": "327052",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kellen Kenji Kawika Kashiwa, O.D.
• Barbara Mau Kashiwabara, PHARM.D., RPH
• Ronald Kashiwada, DDS
• Kayoko Miyama Kashiwatani, R.D.
• Christopher Kevin Kasprick, D.C.
• Twyla Joyce Kastner
• Richard Toshiharu Kasuya, M.D.
• Kat Jackson LLC (New Day Hawaii)
• Alissa Katada, LBA
• Jennifer M Katada, M.D.

• Mental Health Counselor in Honolulu, HI
• Providers in Honolulu, 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 Jun 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.