Jodi Ann Taira, MA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

665 Issued in HI

Practice address

100 Kahelu Ave Ste 101
Mililani, HI 96789-3913

Phone

(808) 625-7448

NPI assigned

Feb 3, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Gina Leong Samala, Psy.D, Inc.

  • Clinical Psychologist
  • Mililani, HI
  • NPI 1255517652

  Single Specialty

  NPD

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

{
    "created_epoch": "1580688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580688000000",
    "number": "1669003182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95-1096 KIHENE ST",
            "city": "MILILANI",
            "state": "HI",
            "postal_code": "967896527",
            "telephone_number": "808-722-8345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 KAHELU AVE STE 101",
            "city": "MILILANI",
            "state": "HI",
            "postal_code": "967893913",
            "telephone_number": "808-625-7448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAIRA",
        "first_name": "JODI",
        "middle_name": "ANN",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-03",
        "last_updated": "2020-02-03",
        "certification_date": "2020-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "HI",
            "license": "665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Alden Strout, DMD
• Angela Su, DDS
• Maryrose Sullano
• Chris Sutherland, DO
• Candace Sweigart, M.S., LBS., BCBA
• Rachel Tajiri
• Kellie Takai
• Cheyenne Takeuchi-Leong
• Arisa Takeuchi, MD
• Mari Takushi, PHARM.D/RPH

• Mental Health Counselor in Mililani, HI
• Providers in Mililani, 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 Feb 3, 2020; 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.