Tasha Kahoalii

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

126290 Issued in CA

Practice address

1560 Betty CT Ste a
McKinleyville, CA 95519-4178

Phone

(707) 839-1933

NPI assigned

Dec 28, 2021

Last updated

Jul 31, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Clinical Social Worker

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Open Door Community Health CentersGroup PAC ID 9436067485, 113 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Open Door Community Health Centers

  dba Del Norte Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Crescent City, CA
  • NPI 1497840656
  Medicare reassignment Care Compare group
• Two Feathers Native American Family Services

  • Community/Behavioral Health Agency
  • McKinleyville, CA
  • NPI 1609460120
  NPD
• Two Feathers Native American Family Services

  • Community/Behavioral Health Agency
  • McKinleyville, CA
  • NPI 1881166049
  NPD (past)

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

{
    "created_epoch": "1640649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1548920861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 BETTY CT STE A",
            "city": "MCKINLEYVILLE",
            "state": "CA",
            "postal_code": "955194178",
            "telephone_number": "707-839-1933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 BETTY CT STE A",
            "city": "MCKINLEYVILLE",
            "state": "CA",
            "postal_code": "955194178",
            "telephone_number": "707-839-1933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAHOALII",
        "first_name": "TASHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-28",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "126290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Johnson
• Cynthia Johnson, NP
• Fredrick Anthony Johnson II, DDS
• Louis Laverne Johnson, RPH
• Andrea Lee Jones, ASW
• Aimee Louise Keiser, OT
• Patricia Kay Kerig, PHD
• Kimberly Lynne Kerpan, COTA
• Kelly A Kinsley, M.D.
• Kathy Koeppen, LMFT

• Clinical Social Worker in McKinleyville, CA
• Providers in McKinleyville, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.