Organization Active NPI

Men Heal

  • Community Health Worker
  • Makawao, HI
National Provider Identifier
1487479069
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Legal business name
MEN HEAL
Practice address
1075 Makawao Ave Unit 1841
Makawao, HI 96768-3078
Phone
(808) 283-3016
NPI assigned
Nov 19, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Authorized official

Name
Eman'on Fearless WandererNPI 1740584218
Title
Founder/ Ceo
Phone
(808) 283-3016

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Drama TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 101200000X
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Behavior TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 106S00000X
Community Health WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 172V00000X Primary
Peer SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 175T00000X
Art TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 221700000X
Dance TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225600000X
Music TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225A00000X

Addresses

Primary practice location

1075 Makawao Ave Unit 1841
Makawao, HI 96768-3078

Mailing address

PO Box 1841
Makawao, HI 96768-1841
Phone (808) 283-3016

Other names 1

  • Helping Men Heal, LLC Other name

National Provider Directory

National Provider Directory

Locations

1075 Makawao Ave
Unit 1841
Makawao, HI 96768
Phone (808) 283-3016

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1731974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732060800000",
    "number": "1487479069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1841",
            "city": "MAKAWAO",
            "state": "HI",
            "postal_code": "967681841",
            "telephone_number": "808-283-3016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 MAKAWAO AVE UNIT 1841",
            "city": "MAKAWAO",
            "state": "HI",
            "postal_code": "967683078",
            "telephone_number": "808-283-3016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEN HEAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-19",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A",
        "authorized_official_last_name": "WANDERER",
        "authorized_official_first_name": "EMAN'ON",
        "authorized_official_middle_name": "FEARLESS",
        "authorized_official_title_or_position": "FOUNDER/ CEO",
        "authorized_official_telephone_number": "808-283-3016"
    },
    "taxonomies": [
        {
            "code": "101200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Drama Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "221700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Art Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dance Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Music Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Helping Men Heal, LLC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Helping Men Heal, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Makawao, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; 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.