Active NPI
Men Heal
- Community Health Worker
- Makawao, HI
National Provider Identifier
1487479069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Eman'on Fearless Wanderer
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Drama Therapist | 101200000X | |||
| Mental Health Counselor | 101YM0800X | |||
| Behavior Technician | 106S00000X | |||
| Community Health Worker | 172V00000X | Primary | ||
| Peer Specialist | 175T00000X | |||
| Art Therapist | 221700000X | |||
| Dance Therapist | 225600000X | |||
| Music Therapist | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Behavior Technician
- Honolulu, HI
- NPI 1740584218
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.