Laura Corinne Maakestad Sullivan, M. A., L.M.H.C.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

36 Issued in HI

Practice address

84-680 Kili Dr
Suite #803
Waianae, HI 96792-1524

Phone

(808) 888-9237

NPI assigned

Oct 24, 2006

Last updated

Jan 5, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325721600000",
    "number": "1649354853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84-680 KILI DR",
            "address_2": "SUITE #803",
            "city": "WAIANAE",
            "state": "HI",
            "postal_code": "967921524",
            "telephone_number": "808-888-9237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84-680 KILI DR",
            "address_2": "SUITE #803",
            "city": "WAIANAE",
            "state": "HI",
            "postal_code": "967921524",
            "telephone_number": "808-888-9237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAAKESTAD SULLIVAN",
        "first_name": "LAURA",
        "middle_name": "CORINNE",
        "credential": "M. A., L.M.H.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2012-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "HI",
            "license": "36",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00006237",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "105HI03587",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Waianae, HI
• Providers in Waianae, HI by specialty
• Mental Health Counselor in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2012; 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.