Ola Pono Counseling, LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

OLA PONO COUNSELING, LLC

Practice address

455 N University Ave Ste 201
Provo, UT 84601-2867

Phone

(385) 446-2466

Fax

(385) 446-2466

NPI assigned

Oct 4, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Augusto Daquipa Gancinia II, PHDNPI 1881098051

Title

Owner

Phone

(385) 446-2466

Specialties & licenses 9

Addresses

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Augusto Gancinia, AGENCY AFFILIATED RE

  • Psychologist
  • Provo, UT
  • NPI 1881098051
  NPD Authorized official
• Heidi A Vogeler, LP

  • Psychologist
  • Provo, UT
  • NPI 1265230759
  NPD
• Davis Kealanohea Kane, PHD

  • Counseling Psychologist
  • Provo, UT
  • NPI 1386221760
  NPD (past)
• Megan Story Chavez, PHD, LMFT

  • Marriage & Family Therapist
  • Provo, UT
  • NPI 1801264197
  NPD (past)

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

{
    "created_epoch": "1728000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728000000000",
    "number": "1699594937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 N UNIVERSITY AVE STE 201",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846012867",
            "telephone_number": "385-446-2466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 N UNIVERSITY AVE STE 201",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846012867",
            "telephone_number": "385-446-2466",
            "fax_number": "385-446-2466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLA PONO COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-04",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-02",
        "status": "A",
        "authorized_official_last_name": "GANCINIA",
        "authorized_official_first_name": "AUGUSTO",
        "authorized_official_middle_name": "DAQUIPA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "385-446-2466",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TA0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Adult Development & Aging",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Group Psychotherapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shaun Vernon Odell, M.D.
• Autumn Ogden
• Bruce E Ogden, MD
• Benjamin McKay Ogles, PHD
• Jennifer Jo Ogren
• Hilary Hughes Oldroyd, CCM
• Ronald I Oldroyd, M.D.
• Ashley Oldson, HSW
• Brian K Olenslager, M.D.
• Adolpho Oliva

• Psychologist in Provo, UT
• Providers in Provo, UT by specialty
• Psychologist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2024; 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.