Active NPI
Laura Fam
- Mental Health Counselor
- Waipahu, HI
National Provider Identifier
1497035711
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MHC 258
- Practice address
- 94-1021 Waipahu St Ste 202
Waipahu, HI 96797-3664 - Phone
- (808) 782-5379
- NPI assigned
- Aug 17, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MHC 258 | HI | Primary |
Addresses
Primary practice location
94-1021 Waipahu St Ste 202
Waipahu, HI 96797-3664
Mailing address
92-1521 Aliinui Dr # 13a
Kapolei, HI 96707-2233
Phone (808) 782-5379
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MHC 258 | HI | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313539200000",
"number": "1497035711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "92-1521 ALIINUI DR # 13A",
"city": "KAPOLEI",
"state": "HI",
"postal_code": "967072233",
"telephone_number": "808-782-5379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "94-1021 WAIPAHU ST STE 202",
"city": "WAIPAHU",
"state": "HI",
"postal_code": "967973664",
"telephone_number": "808-782-5379"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAM",
"first_name": "LAURA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-08-17",
"last_updated": "2011-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "HI",
"license": "MHC 258",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waipahu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.