Individual provider Active NPI

Elizabeth Anderson, LMFT

  • Marriage & Family Therapist
  • Honolulu, HI
National Provider Identifier
1700430378
Registry record updated Jul 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
589 Issued in HI
Practice address
400 Hobron LN Apt 611
Honolulu, HI 96815-1201
Phone
(808) 224-8436
NPI assigned
Jul 31, 2019
Last updated
Jul 31, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 589 HI Primary

Addresses

Primary practice location

400 Hobron LN Apt 611
Honolulu, HI 96815-1201

Mailing address

400 Hobron LN Apt 611
Honolulu, HI 96815-1201
Phone (808) 224-8436

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240126001871 HI Practitioner - Marriage and Family Therapist 8820441793 Practice locations: Honolulu, HI

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1188 Bishop St
Suite 2101
Honolulu, HI 96813-3308
Phone (808) 224-8436

1440 Kapiolani Blvd
Suite 1200
Honolulu, HI 96814-3608
Phone (808) 224-8436

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
589HIMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Heather McDermott PSYD PLLC Past Accepting new patients
Heather H. McDermott, Psy.D., LLC PastSince May 1, 2016 Accepting new patients

Organizations & group practices 2

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": "1564531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564531200000",
    "number": "1700430378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 HOBRON LN APT 611",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968151201",
            "telephone_number": "808-224-8436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 HOBRON LN APT 611",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968151201",
            "telephone_number": "808-224-8436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "ELIZABETH",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-31",
        "last_updated": "2019-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "HI",
            "license": "589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.