Individual provider Active NPI

Henry Lou-Goode, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Honolulu, HI
National Provider Identifier
1467075614
Registry record updated May 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN3507 Issued in HI
Practice address
50 S Beretania St Ste C112
Honolulu, HI 96813-2225
Phone
(808) 466-2979
NPI assigned
May 22, 2020
Last updated
May 2, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN3507 HI Primary
Psychiatric/Mental Health Registered Nurse 163WP0808X RN104290 HI

Addresses

Primary practice location

50 S Beretania St Ste C112
Honolulu, HI 96813-2225

Mailing address

92-836 Kinohi PL Apt 16
Kapolei, HI 96707-1336

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260407001829 HI Practitioner - Nurse Practitioner 8325468531 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1003 Alabaster CV
Sanford, FL 32771-3607

50 S Beretania St
Suite C112
Honolulu, HI 96813-2225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN104290HIMDPsychiatric/Mental Health Registered Nurse
APRN3507HIMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Syncare Behavioral Health LLC Psychiatric/Mental Health CurrentSince Nov 1, 2023 Accepting new patients
Optum Behavioral Care of Ohio, Inc Past Accepting new patients

Locations

1215 Center St
Ste 204
Honolulu, HI 96816
Phone (206) 657-6213

50 S Beretania St
Ste C112
Honolulu, HI 96813
Phone (808) 466-2979

Interoperability endpoints

  • Direct secure messaging: henry.lou-goode.1@26649.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/26649/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1590105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746144000000",
    "number": "1467075614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92-836 KINOHI PL APT 16",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967071336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 S BERETANIA ST STE C112",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132225",
            "telephone_number": "808-466-2979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOU-GOODE",
        "first_name": "HENRY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-22",
        "last_updated": "2025-05-02",
        "certification_date": "2025-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "HI",
            "license": "APRN3507",
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "HI",
            "license": "RN104290",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.