Individual provider Active NPI

Shari Tresky, MA, LMHC

  • Mental Health Counselor
  • Hilo, HI
National Provider Identifier
1639416910
Registry record updated Jan 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MHC292 Issued in HI
Practice address
120 Keawe St
Ste 203B
Hilo, HI 96720-2874
Phone
(808) 896-4121
Fax
(808) 963-6016
NPI assigned
Jan 7, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MHC292 HI Primary

Addresses

Primary practice location

120 Keawe St
Ste 203B
Hilo, HI 96720-2874

Mailing address

PO Box 173
Hakalau, HI 96710-0173
Phone (808) 896-4121

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
I20240823001807 HI Practitioner - Mental Health Counselor 9931648995 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

120 Keawe St
Suite 203B
Hilo, HI 96720-2874
Phone (808) 896-4121

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
MHC292HIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Well Mind LLC Mental Health CurrentSince May 1, 2024 Accepting new patients

Locations

120 Keawe St
Ste 203B
Hilo, HI 96720
Phone (808) 315-1432

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": "1357516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357516800000",
    "number": "1639416910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 173",
            "city": "HAKALAU",
            "state": "HI",
            "postal_code": "967100173",
            "telephone_number": "808-896-4121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 KEAWE ST",
            "address_2": "STE 203B",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202874",
            "telephone_number": "808-896-4121",
            "fax_number": "808-963-6016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRESKY",
        "first_name": "SHARI",
        "credential": "MA, LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-07",
        "last_updated": "2013-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "HI",
            "license": "MHC292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilo, HI

Sources for this page

Verify at the official NPI Registry.