Koolau Counseling LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

1048 Issued in HI

Legal business name

KOOLAU COUNSELING LLC

Practice address

55-510 Kamehameha Hwy Ste 14
Laie, HI 96762-1197

Phone

(808) 293-5555

Fax

(408) 457-0998

NPI assigned

Aug 29, 2016

Last updated

Jan 24, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Eric G Orr Sr., PHDNPI 1417107939

Title

License Psychologist / Member

Phone

(808) 780-6925

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Eric Glenn Orr Sr., PH.D

  • Psychologist
  • Laie, HI
  • NPI 1417107939
  NPD Authorized official
• Paul Steven Buckingham, PH.D.

  • Clinical Social Worker
  • Laie, HI
  • NPI 1831731124
  NPD (past)
• Richard Tyler Dennis, D.C.

  • Chiropractor
  • Hauula, HI
  • NPI 1417233461
  NPD (past)
• Jordan Rascon, LCSW

  • Clinical Social Worker
  • Pleasant Grove, UT
  • NPI 1770933517
  NPD (past)
• Rejieli Delana Racule Smith, LCSW

  • Clinical Social Worker
  • Travis AFB, CA
  • NPI 1093305328
  NPD (past)

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

{
    "created_epoch": "1472428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485216000000",
    "number": "1679029755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55-060 NAUPAKA ST",
            "city": "LAIE",
            "state": "HI",
            "postal_code": "967621127",
            "telephone_number": "808-780-6925",
            "fax_number": "408-757-0998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55-510 KAMEHAMEHA HWY STE 14",
            "city": "LAIE",
            "state": "HI",
            "postal_code": "967621197",
            "telephone_number": "808-293-5555",
            "fax_number": "408-457-0998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOOLAU COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-29",
        "last_updated": "2017-01-24",
        "status": "A",
        "authorized_official_last_name": "ORR",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "LICENSE PSYCHOLOGIST / MEMBER",
        "authorized_official_telephone_number": "808-780-6925",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "HI",
            "license": "1048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1417107939",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Paige Kurosawa, PHARMD
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• Marc B. Shlachter, M.D., Inc.
• Cheryl McKee

• Community/Behavioral Health Agency in Laie, HI
• Providers in Laie, HI by specialty
• Community/Behavioral Health Agency in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2017; 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.