Individual provider Active NPI

Kevin Hedlund

  • Case Manager/Care Coordinator
  • Hilo, HI
National Provider Identifier
1487549713
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
80 Pauahi St Ste 206
Hilo, HI 96720-3044
Phone
(808) 443-6257
NPI assigned
Jun 9, 2025
Last updated
Jul 24, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU
Addiction (Substance Use Disorder) Counselor 101YA0400X NU
Mental Health Counselor 101YM0800X NU
Driver 172A00000X NU
Case Manager/Care Coordinator 171M00000X NU Primary
Health & Wellness Coach 171400000X NU

Addresses

Primary practice location

80 Pauahi St Ste 206
Hilo, HI 96720-3044

Mailing address

80 Pauahi St Ste 206
Hilo, HI 96720-3044
Phone (808) 491-2437

Other practice location 1

301 Ponahawai St
Hilo, HI 96720-2611
Phone (808) 443-6257

Other practice location 2

160 Mohouli St
Hilo, HI 96720-3953
Phone (808) 443-6257

Other practice location 3

37 E Uluwai St
Hilo, HI 96720-1973
Phone (808) 443-6257

Other practice location 4

1856 Kinoole St
Hilo, HI 96720-5239
Phone (808) 443-6257

Other practice location 5

75-5708 Alahou St Ste 2C
Kailua Kona, HI 96740-1855
Phone (808) 464-4003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Going Home Hawaii CurrentSince Jun 15, 2025 Accepting new patients

Locations

80 Pauahi St
Ste 206
Hilo, HI 96720
Phone (808) 443-6257

Organizations & group practices 1

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": "1749427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1487549713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 PAUAHI ST STE 206",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967203044",
            "telephone_number": "808-491-2437",
            "fax_number": "808-498-0315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 PAUAHI ST STE 206",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967203044",
            "telephone_number": "808-443-6257"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 Ponahawai St",
            "address_purpose": "LOCATION",
            "city": "Hilo",
            "state": "HI",
            "postal_code": "967202611",
            "country_code": "US",
            "telephone_number": "808-443-6257",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "160 Mohouli St",
            "address_purpose": "LOCATION",
            "city": "Hilo",
            "state": "HI",
            "postal_code": "967203953",
            "country_code": "US",
            "telephone_number": "808-443-6257",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "37 E Uluwai St",
            "address_purpose": "LOCATION",
            "city": "Hilo",
            "state": "HI",
            "postal_code": "967201973",
            "country_code": "US",
            "telephone_number": "808-443-6257",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1856 Kinoole St",
            "address_purpose": "LOCATION",
            "city": "Hilo",
            "state": "HI",
            "postal_code": "967205239",
            "country_code": "US",
            "telephone_number": "808-443-6257",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "75-5708 Alahou St Ste 2C",
            "address_purpose": "LOCATION",
            "city": "Kailua Kona",
            "state": "HI",
            "postal_code": "967401855",
            "country_code": "US",
            "telephone_number": "808-464-4003",
            "fax_number": "808-464-4288",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEDLUND",
        "first_name": "KEVIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-09",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilo, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2025; 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.