Active NPI
Koa Mental Health LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Hilo, HI
National Provider Identifier
1639969264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- KOA MENTAL HEALTH LLC
- Practice address
- 1034 Ulana PL
Hilo, HI 96720-3261 - Phone
- (808) 333-8094
- NPI assigned
- May 7, 2025
- 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
- Joseph Daniel Gomez, LMHC
- Title
- Owner/Operater
- Phone
- (808) 333-8094
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
1034 Ulana PL
Hilo, HI 96720-3261
Mailing address
4217 W Winter Evening PL
Fayetteville, AR 72704-7198
Phone (808) 333-8094
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.
-
- Mental Health Counselor
- Hilo, HI
- NPI 1609245513
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1746576000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1746576000000",
"number": "1639969264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4217 W WINTER EVENING PL",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727047198",
"telephone_number": "808-333-8094"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1034 ULANA PL",
"city": "HILO",
"state": "HI",
"postal_code": "967203261",
"telephone_number": "808-333-8094"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KOA MENTAL HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-05-07",
"last_updated": "2025-05-07",
"certification_date": "2025-05-07",
"status": "A",
"authorized_official_last_name": "GOMEZ",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "DANIEL",
"authorized_official_title_or_position": "OWNER/OPERATER",
"authorized_official_telephone_number": "808-333-8094",
"authorized_official_credential": "LMHC"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hilo, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.