Jacqueline Montero, CSAC, ICRC, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

350 Aoloa St Apt A232
Kailua, HI 96734-3056

Phone

(808) 861-7527

NPI assigned

Aug 3, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Hale Kipa, Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Ewa Beach, HI
  • NPI 1164627246

  Addiction (Substance Use Disorder)

  NPD

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

{
    "created_epoch": "1627948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670112000000",
    "number": "1538833629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 AOLOA ST APT A232",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967343056",
            "telephone_number": "808-861-7527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 AOLOA ST APT A232",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967343056",
            "telephone_number": "808-861-7527"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1253 Makalapa Gate Rd",
            "address_purpose": "LOCATION",
            "city": "Pearl Harbor",
            "state": "HI",
            "postal_code": "968604479",
            "country_code": "US",
            "telephone_number": "808-861-0448",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1253 Makalapa Gate Rd",
            "address_purpose": "LOCATION",
            "city": "Pearl Harbor",
            "state": "HI",
            "postal_code": "968604479",
            "country_code": "US",
            "telephone_number": "808-861-0448",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTERO",
        "first_name": "JACQUELINE",
        "credential": "CSAC, ICRC, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-03",
        "last_updated": "2022-12-04",
        "certification_date": "2022-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "HI",
            "license": "2065-19",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "HI",
            "license": "MHC-915",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mari Yi Shan Monico
• Kathleen Luana Durante Moniz, MD
• Jaclyn Monnig, SLP
• Hope Montalvo
• Jacqueline Montano
• Valerie L Montoya, LAC
• Celeste Moore
• Lauren Mordue, OD
• Caryn S Morita
• Gary Katsumi Morita, D.D.S. INC.

• Mental Health Counselor in Kailua, HI
• Providers in Kailua, HI by specialty
• Mental Health Counselor in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2022; 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.