Active NPI
Leap of Faith Counseling LLC
- Marriage & Family Therapist
- Honolulu, HI
National Provider Identifier
1558802017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 491
- Legal business name
- LEAP OF FAITH COUNSELING LLC
- Practice address
- 2637 Kuilei St Apt A104
Honolulu, HI 96826-3288 - Phone
- (808) 635-3464
- NPI assigned
- Mar 16, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Nathaniel Beralas
- Title
- Therapist
- Phone
- (808) 635-3464
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 393 | HI | |
| Marriage & Family Therapist | 106H00000X | 491 | HI | Primary |
Addresses
Primary practice location
2637 Kuilei St Apt A104
Honolulu, HI 96826-3288
Mailing address
2637 Kuilei St Apt A104
Honolulu, HI 96826-3288
Phone (808) 635-3464
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489622400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1489622400000",
"number": "1558802017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2637 KUILEI ST APT A104",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968263288",
"telephone_number": "808-635-3464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2637 KUILEI ST APT A104",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968263288",
"telephone_number": "808-635-3464"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEAP OF FAITH COUNSELING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-03-16",
"last_updated": "2017-03-16",
"status": "A",
"authorized_official_last_name": "BERALAS",
"authorized_official_first_name": "NATHANIEL",
"authorized_official_title_or_position": "THERAPIST",
"authorized_official_telephone_number": "808-635-3464",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "HI",
"license": "393",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": "HI",
"license": "491",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.