Organization Active NPI

Greater Depths Therapy Inc

Doing business as Greater Depths Therapy

  • Marriage & Family Therapist
  • Wailuku, HI
National Provider Identifier
1487492245
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
GREATER DEPTHS THERAPY INC
Doing business as
Greater Depths Therapy
Practice address
2070 W Vineyard St Ste 3
Wailuku, HI 96793-1699
Phone
(808) 740-8380
NPI assigned
Jul 17, 2024
Last updated
Jul 17, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2024

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

Authorized official

Name
Daniel Henkel, LMFTNPI 1821141904
Title
President
Phone
(808) 740-8380

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X NU Primary

Addresses

Primary practice location

2070 W Vineyard St Ste 3
Wailuku, HI 96793-1699

Mailing address

2070 W Vineyard St Ste 3
Wailuku, HI 96793-1699
Phone (808) 740-8380

Other names 1

  • Greater Depths Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

2070 W Vineyard St
Ste 3
Wailuku, HI 96793
Phone (808) 740-8380

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1721174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721174400000",
    "number": "1487492245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2070 W VINEYARD ST STE 3",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967931699",
            "telephone_number": "808-740-8380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2070 W VINEYARD ST STE 3",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967931699",
            "telephone_number": "808-740-8380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER DEPTHS THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-17",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-16",
        "status": "A",
        "authorized_official_last_name": "HENKEL",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-740-8380",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greater Depths Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wailuku, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.