Jeanette Marie Clarke, LMHC 799

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

799 Issued in HI

Practice address

81-6587 Mamalahoa Hwy
BLDG C
Kealakekua, HI 96750

Phone

(808) 323-2664

NPI assigned

Aug 2, 2017

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1501632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1679097406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91-1841 FORT WEAVER RD",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967061909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81-6587 MAMALAHOA HWY",
            "address_2": "BLDG C",
            "city": "KEALAKEKUA",
            "state": "HI",
            "postal_code": "96750",
            "telephone_number": "808-323-2664"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "75-5776 Kuakini Hwy Apt 215",
            "address_purpose": "LOCATION",
            "city": "Kailua Kona",
            "state": "HI",
            "postal_code": "967401762",
            "country_code": "US",
            "telephone_number": "808-937-3576",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARKE",
        "first_name": "JEANETTE",
        "middle_name": "MARIE",
        "credential": "LMHC 799",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-02",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "HI",
            "license": "799",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Care Hawaii, Inc.
• Care Hawaii, Inc.
• William Cariaga Jr.
• Elizabeth Carroll, LMHC
• Elizabeth A. Catanzaro, M.D.
• Richard James Cleave IV
• Clif Arrington M.D., Inc
• Jack Cruzan, LCSW CSAC
• Heide Ulrike Cumes, PHD
• Jeffrey Winston Cumes, PHD

• Mental Health Counselor in Kealakekua, HI
• Providers in Kealakekua, 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 Jul 17, 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.