Individual provider Active NPI

Amygrace Tabiesa Araki, LMHC

  • Mental Health Counselor
  • Kapolei, HI
National Provider Identifier
1699338665
Registry record updated Apr 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MHC-435 Issued in HI
Practice address
1001 Kamokila Blvd Ste 115
Kapolei, HI 96707-2097
Phone
(808) 345-1564
NPI assigned
Apr 16, 2019
Last updated
Apr 16, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X MHC-435 HI Primary

Addresses

Primary practice location

1001 Kamokila Blvd Ste 115
Kapolei, HI 96707-2097

Mailing address

PO Box 700851
Kapolei, HI 96709-0851

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kapolei Counseling Center, LLC Single Specialty CurrentSince Feb 16, 2024 Accepting new patients

Locations

2176 Lauwiliwili St
Ste 1
Kapolei, HI 96707
Phone (808) 202-0919

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1555372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555372800000",
    "number": "1699338665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 700851",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967090851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 KAMOKILA BLVD STE 115",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967072097",
            "telephone_number": "808-345-1564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARAKI",
        "first_name": "AMYGRACE",
        "middle_name": "TABIESA",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-16",
        "last_updated": "2019-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "HI",
            "license": "MHC-435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kapolei, HI

Sources for this page

Verify at the official NPI Registry.