Individual provider Active NPI

Shaye Kimura

  • Mental Health Counselor
  • Aiea, HI
National Provider Identifier
1730598087
Registry record updated May 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MHC616 Issued in HI
Practice address
98-030 Hekaha St Ste 23
Aiea, HI 96701-4911
Phone
(808) 321-9948
NPI assigned
Aug 11, 2014
Last updated
May 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MHC616 HI Primary

Addresses

Primary practice location

98-030 Hekaha St Ste 23
Aiea, HI 96701-4911

Mailing address

615 Piikoi St Ste 203
Honolulu, HI 96814-3139

Other practice location 1

55 Merchant St Fl 22
Honolulu, HI 96813-4333
Phone (808) 535-7600

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
I20240124000545 HI Practitioner - Mental Health Counselor 5395197586 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MHC616HIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Kapiolani Medical Center for Women & Children CurrentSince Nov 27, 2023 Accepting new patients
Kapiolani Medical Center for Women & Children CurrentSince Nov 27, 2023 Accepting new patients
Hale Kipa, Inc. Mental Health Past Accepting new patients

Locations

1319 Punahou St
Honolulu, HI 96826
Phone (808) 485-4300

55 Merchant St
Fl 22
Honolulu, HI 96813
Phone (808) 535-7600

Organizations & group practices 3

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": "1407715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715472000000",
    "number": "1730598087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 PIIKOI ST STE 203",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968143139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98-030 HEKAHA ST STE 23",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967014911",
            "telephone_number": "808-321-9948"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 Merchant St Fl 22",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968134333",
            "country_code": "US",
            "telephone_number": "808-535-7600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIMURA",
        "first_name": "SHAYE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-11",
        "last_updated": "2024-05-12",
        "certification_date": "2024-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "HI",
            "license": "MHC616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiea, HI

Sources for this page

Verify at the official NPI Registry.