Organization Active NPI

Kauhale Healing LLC

  • Community/Behavioral Health Agency
  • Kailua Kona, HI
National Provider Identifier
1720741473
Registry record updated May 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
KAUHALE HEALING LLC
Practice address
75-5706 Hanama PL Ste 110
Kailua Kona, HI 96740-1713
Phone
(808) 480-1247
NPI assigned
Oct 20, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2023

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

Authorized official

Name
Damien Young, LMFTNPI 1952791261
Title
Sole MBR
Phone
(808) 480-1247

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

75-5706 Hanama PL Ste 110
Kailua Kona, HI 96740-1713

Mailing address

PO Box 4920
Kailua Kona, HI 96745-4920
Phone (808) 480-1247

National Provider Directory

National Provider Directory

Locations

75-5706 Hanama Pl
Ste 110
Kailua Kona, HI 96740
Phone (808) 480-1247

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1634688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684800000000",
    "number": "1720741473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4920",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967454920",
            "telephone_number": "808-480-1247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75-5706 HANAMA PL STE 110",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967401713",
            "telephone_number": "808-480-1247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAUHALE HEALING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-20",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "DAMIEN",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "808-480-1247",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kailua Kona, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.