Individual provider Active NPI

Brittni Brooks

  • Marriage & Family Therapist
  • Princeville, HI
National Provider Identifier
1619420288
Registry record updated Aug 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
593 Issued in HI
Practice address
5-4280 Kuhio Hwy Ste GC
Princeville, HI 96722-5451
Phone
(808) 639-9236
NPI assigned
Jul 29, 2016
Last updated
Aug 16, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Marriage & Family Therapist 106H00000X 593 HI Primary

Addresses

Primary practice location

5-4280 Kuhio Hwy Ste GC
Princeville, HI 96722-5451

Mailing address

PO Box 223035
Princeville, HI 96722-3035
Phone (808) 847-3285

Other practice location 1

1485 Linapuni St Rm 105
Honolulu, HI 96819-3575
Phone (808) 847-3285

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
593HIMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hawaii Emdr LLC Marriage & Family Therapist CurrentSince Jul 24, 2022 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1469750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1619420288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 223035",
            "city": "PRINCEVILLE",
            "state": "HI",
            "postal_code": "967223035",
            "telephone_number": "808-847-3285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5-4280 KUHIO HWY STE GC",
            "city": "PRINCEVILLE",
            "state": "HI",
            "postal_code": "967225451",
            "telephone_number": "808-639-9236"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1485 Linapuni St Rm 105",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968193575",
            "country_code": "US",
            "telephone_number": "808-847-3285",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "BRITTNI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-29",
        "last_updated": "2021-08-16",
        "certification_date": "2021-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "HI",
            "license": "593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeville, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2021; 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.