Individual provider Active NPI

Chiyo Churchill, MFT

  • Marriage & Family Therapist
  • Honolulu, HI
National Provider Identifier
1609004423
Registry record updated Oct 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
195 Issued in HI
Practice address
1822 Keeaumoku St
Honolulu, HI 96822-3001
Phone
(808) 527-4489
Fax
(808) 527-4479
NPI assigned
Jul 1, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2023

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 195 HI Primary

Addresses

Primary practice location

1822 Keeaumoku St
Honolulu, HI 96822-3001

Mailing address

1822 Keeaumoku St
Honolulu, HI 96822-3001
Phone (808) 527-4489

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
I20231204003171 HI Practitioner - Marriage and Family Therapist 3779908348 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
195HIMDPublic Health Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Charities Hawaii Marriage & Family Therapist CurrentSince Jun 13, 2019 Accepting new patients
Therapeutic Counseling Center Marriage & Family Therapist Past Accepting new patients

Locations

1822 Keeaumoku St
Honolulu, HI 96822
Phone (808) 527-4636

Organizations & group practices 2

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": "1246406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698105600000",
    "number": "1609004423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1822 KEEAUMOKU ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968223001",
            "telephone_number": "808-527-4489",
            "fax_number": "808-527-4479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1822 KEEAUMOKU ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968223001",
            "telephone_number": "808-527-4489",
            "fax_number": "808-527-4479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHURCHILL",
        "first_name": "CHIYO",
        "name_prefix": "Ms.",
        "credential": "MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-01",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "HI",
            "license": "195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.