Penney Puanani Oguma, BA, CDCS,CSAC, ICADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

1880-15 Issued in HI

Practice address

1521 Katy Jill CT
North Pole, AK 99705-5640

Phone

(808) 673-9750

NPI assigned

Dec 28, 2020

Last updated

Aug 27, 2022By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

State licenses

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

{
    "created_epoch": "1609113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661558400000",
    "number": "1659968410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 KATY JILL CT",
            "city": "NORTH POLE",
            "state": "AK",
            "postal_code": "997055640",
            "telephone_number": "808-673-9750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 KATY JILL CT",
            "city": "NORTH POLE",
            "state": "AK",
            "postal_code": "997055640",
            "telephone_number": "808-673-9750"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14-3345 Donnybrook Lane",
            "address_purpose": "LOCATION",
            "city": "Pahoa",
            "state": "HI",
            "postal_code": "967789677",
            "country_code": "US",
            "telephone_number": "808-673-9750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OGUMA",
        "first_name": "PENNEY",
        "middle_name": "PUANANI",
        "name_prefix": "Ms.",
        "credential": "BA, CDCS,CSAC, ICADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-28",
        "last_updated": "2022-08-27",
        "certification_date": "2022-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "HI",
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "HI",
            "license": "1880-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Addiction (Substance Use Disorder) Counselor in North Pole, AK
• Providers in North Pole, AK by specialty
• Addiction (Substance Use Disorder) Counselor in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2022; 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.