Individual provider Active NPI

Matthias Darricarrere, PSY.D.

  • Mental Health Counselor
  • Honolulu, HI
National Provider Identifier
1750771515
Registry record updated Dec 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1600 Kapiolani Blvd Ste 1306
Honolulu, HI 96814-3805
Phone
(808) 949-7444
NPI assigned
Feb 2, 2015
Last updated
Dec 18, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2022

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 Primary

Addresses

Primary practice location

1600 Kapiolani Blvd Ste 1306
Honolulu, HI 96814-3805

Mailing address

1600 Kapiolani Blvd Ste 1306
Honolulu, HI 96814-3805
Phone (808) 949-7444

Other practice location 1

777 Bannock St
Denver, CO 80204-4507
Phone (303) 602-4545

Other practice location 2

2450 S Vine St
Denver, CO 80210-5264
Phone (720) 675-8695

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mdarricarrere152098@direct.dhha.org Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, HI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20201116002695 CO Practitioner - Clinical Psychologist 6507277944 Reassigns benefits to 1 organization
I20230215001749 HI Practitioner - Clinical Psychologist 6507277944 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Health of Ohana Migration Evaluation Services (Home), LLC Current Accepting new patients
Denver Health and Hospital Authority CurrentSince Nov 1, 2020 Accepting new patients
Denver Health and Hospital Authority CurrentSince Nov 1, 2020 Accepting new patients
Kokua Kalihi Valley Comprehensive Family Services CurrentSince Jan 17, 2023 Accepting new patients
Kokua Kalihi Valley Comprehensive Family Services CurrentSince Jan 17, 2023 Accepting new patients

Locations

777 Bannock St
Denver, CO 80204

777 Bannock St
#3240
Denver, CO 80204
Phone (303) 602-2714

1600 Kapiolani Blvd
Ste 1306
Honolulu, HI 96814
Phone (808) 596-0330

2239 N School St
Honolulu, HI 96819
Phone (808) 791-9400

Interoperability endpoints

  • Direct secure messaging: mdarricarrere152098@direct.dhha.org

Organizations & group practices 6

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": "1422835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671321600000",
    "number": "1750771515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 KAPIOLANI BLVD STE 1306",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968143805",
            "telephone_number": "808-949-7444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 KAPIOLANI BLVD STE 1306",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968143805",
            "telephone_number": "808-949-7444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "777 Bannock St",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802044507",
            "country_code": "US",
            "telephone_number": "303-602-4545",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2450 S Vine St",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802105264",
            "country_code": "US",
            "telephone_number": "720-675-8695",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DARRICARRERE",
        "first_name": "MATTHIAS",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-02-02",
        "last_updated": "2022-12-18",
        "certification_date": "2022-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mdarricarrere152098@direct.dhha.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "777 Bannock St",
            "city": "Denver",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802044507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.