Individual provider Active NPI

Laurie L La Madrid

  • Marriage & Family Therapist
  • Waipahu, HI
National Provider Identifier
1578932901
Registry record updated Dec 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT-455 Issued in HI
Practice address
94-1042 Ka Uka Blvd Ste 203
Waipahu, HI 96797-6209
Phone
(808) 650-2468
NPI assigned
Sep 16, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2020

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 MFT-455 HI Primary

Addresses

Primary practice location

94-1042 Ka Uka Blvd Ste 203
Waipahu, HI 96797-6209

Mailing address

94-1042 Ka Uka Blvd Ste 203
Waipahu, HI 96797-6209
Phone (808) 650-2468

Other practice location 1

1164 Bishop St Ste 1510
Honolulu, HI 96813-2817
Phone (808) 227-9016

Other practice location 2

1822 Keeaumoku St
Honolulu, HI 96822-3001
Phone (808) 227-9016

Other practice location 3

46-022 Alaloa St Ste 216
Kaneohe, HI 96744
Phone (808) 650-2468

Other practice location 4

46-022 Alaloa St Ste 218
Kaneohe, HI 96744-3823
Phone (808) 650-2468

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

LicenseStateTypeSpecialty
MFT-455HIMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Laurie la Madrid LLC Dba Laurie la Madrid, MFT Marriage & Family Therapist CurrentSince Jan 3, 2021 Accepting new patients

Locations

1164 Bishop St
Ste 1510
Honolulu, HI 96813
Phone (808) 286-4956

46-022 Alaloa St
Ste 216
Kaneohe, HI 96744
Phone (808) 650-2468

46-022 Alaloa St
Ste 218
Kaneohe, HI 96744
Phone (808) 650-2468

94-1042 Ka Uka Blvd
Ste 203
Waipahu, HI 96797
Phone (808) 650-2468

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": "1442361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609027200000",
    "number": "1578932901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94-1042 KA UKA BLVD STE 203",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967976209",
            "telephone_number": "808-650-2468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-1042 KA UKA BLVD STE 203",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967976209",
            "telephone_number": "808-650-2468"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1164 Bishop St Ste 1510",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968132817",
            "country_code": "US",
            "telephone_number": "808-227-9016",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1822 Keeaumoku St",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968223001",
            "country_code": "US",
            "telephone_number": "808-227-9016",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "46-022 Alaloa St Ste 216",
            "address_purpose": "LOCATION",
            "city": "Kaneohe",
            "state": "HI",
            "postal_code": "96744",
            "country_code": "US",
            "telephone_number": "808-650-2468",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "46-022 Alaloa St Ste 218",
            "address_purpose": "LOCATION",
            "city": "Kaneohe",
            "state": "HI",
            "postal_code": "967443823",
            "country_code": "US",
            "telephone_number": "808-650-2468",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LA MADRID",
        "first_name": "LAURIE",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-16",
        "last_updated": "2020-12-27",
        "certification_date": "2020-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "HI",
            "license": "MFT-455",
            "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 Dec 27, 2020; 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.