Organization Active NPI

Holding Space Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Kailua, HI
National Provider Identifier
1659061547
Registry record updated May 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
HOLDING SPACE INC.
Practice address
203 Kapaa Quarry PL
Kailua, HI 96734
Phone
(808) 201-0106
NPI assigned
May 12, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2023

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

Authorized official

Name
Kellie L Johnsen, LMFT, CSTNPI 1164921615
Title
Founder / Director
Phone
(808) 753-3329

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)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

203 Kapaa Quarry PL
Kailua, HI 96734

Mailing address

51-015 Lau PL
Kaaawa, HI 96730-9817
Phone (808) 753-3329

Other names 1

  • Holding Space Hawaii Inc. Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1683849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683849600000",
    "number": "1659061547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51-015 LAU PL",
            "city": "KAAAWA",
            "state": "HI",
            "postal_code": "967309817",
            "telephone_number": "808-753-3329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 KAPAA QUARRY PL",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "96734",
            "telephone_number": "808-201-0106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLDING SPACE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-12",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-02",
        "status": "A",
        "authorized_official_last_name": "JOHNSEN",
        "authorized_official_first_name": "KELLIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "FOUNDER / DIRECTOR",
        "authorized_official_telephone_number": "808-753-3329",
        "authorized_official_credential": "LMFT, CST"
    },
    "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": [
        {
            "organization_name": "Holding Space Hawaii Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Kailua, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2023; 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.