Individual provider Active NPI

Thomas H Miyashiro, MSCP

  • Marriage & Family Therapist
  • Honolulu, HI
National Provider Identifier
1518238963
Registry record updated Dec 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
421 Issued in HI
Practice address
1020 S Beretania St
Honolulu, HI 96814-1428
Phone
(808) 545-2740
Fax
(808) 545-2852
NPI assigned
Jan 17, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 421 HI Primary

Addresses

Primary practice location

1020 S Beretania St
Honolulu, HI 96814-1428

Mailing address

2054 Hoohai St
Pearl City, HI 96782-1423
Phone (808) 383-7494

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240226004227 HI Practitioner - Marriage and Family Therapist 0143665430 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Samaritan Counseling Center HawaiiGroup PAC ID 6507080918, 8 clinicians

Practice addresses (Care Compare)

1020 S Beretania St
Honolulu, HI 96814-1428
Phone (808) 545-2740

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
421HIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Samaritan Counseling Center Hawaii CurrentSince Jan 1, 2024 Accepting new patients

Locations

1020 S Beretania St
Honolulu, HI 96814
Phone (808) 545-2740

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1326758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418601600000",
    "number": "1518238963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2054 HOOHAI ST",
            "city": "PEARL CITY",
            "state": "HI",
            "postal_code": "967821423",
            "telephone_number": "808-383-7494",
            "fax_number": "808-545-2852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 S BERETANIA ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141428",
            "telephone_number": "808-545-2740",
            "fax_number": "808-545-2852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIYASHIRO",
        "first_name": "THOMAS",
        "middle_name": "H",
        "name_prefix": "Mr.",
        "credential": "MSCP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-17",
        "last_updated": "2014-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "HI",
            "license": "421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.