Organization Active NPI

Gentle River Healing LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Volcano, HI
National Provider Identifier
1669272191
Registry record updated Mar 14, 2025
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
GENTLE RIVER HEALING LLC
Practice address
11-2484 Kaleponi Road
Volcano, HI 96785
Phone
(551) 252-5152
NPI assigned
Mar 14, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

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

Authorized official

Name
Alicia Lazenby, LCSWNPI 1225548365
Title
Owner, Therapist
Phone
(551) 252-5152

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

11-2484 Kaleponi Road
Volcano, HI 96785

Mailing address

16-566 Keaau Pahoa Rd Ste 188-805
Keaau, HI 96749-8137

National Provider Directory

National Provider Directory

Locations

16-566 Keaau Pahoa Rd
Ste 188805
Keaau, HI 96749

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": "1741910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741910400000",
    "number": "1669272191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16-566 KEAAU PAHOA RD STE 188-805",
            "city": "KEAAU",
            "state": "HI",
            "postal_code": "967498137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11-2484 KALEPONI ROAD",
            "city": "VOLCANO",
            "state": "HI",
            "postal_code": "96785",
            "telephone_number": "551-252-5152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENTLE RIVER HEALING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-14",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-12",
        "status": "A",
        "authorized_official_last_name": "LAZENBY",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "OWNER, THERAPIST",
        "authorized_official_telephone_number": "551-252-5152",
        "authorized_official_credential": "LCSW"
    },
    "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 Volcano, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.

Verify at the official NPI Registry.