Keiki Club House Inc.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

KEIKI CLUB HOUSE INC.

Practice address

4504 Kukui St
Kapaa, HI 96746-1701

Phone

(808) 298-6555

NPI assigned

Dec 15, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Catherine Long, LMFT, ED.D., LMFTNPI 1316267289

Title

Administrator-Therapist

Phone

(808) 298-6555

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Catherine Emelyn Long, ED.D

  • Marriage & Family Therapist
  • Wailuku, HI
  • NPI 1316267289
  NPD Authorized official

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

{
    "created_epoch": "1639526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639526400000",
    "number": "1760141816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 510232",
            "city": "KEALIA",
            "state": "HI",
            "postal_code": "967510232",
            "telephone_number": "808-298-6555",
            "fax_number": "808-320-8057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4504 KUKUI ST",
            "city": "KAPAA",
            "state": "HI",
            "postal_code": "967461701",
            "telephone_number": "808-298-6555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEIKI CLUB HOUSE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-15",
        "last_updated": "2021-12-15",
        "certification_date": "2021-12-15",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_title_or_position": "ADMINISTRATOR-THERAPIST",
        "authorized_official_telephone_number": "808-298-6555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LMFT, ED.D., LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kauai Optometric Center LLC
• Kauai Optometric Center LLC
• Kaukila Pono
• Gregory Kavadias, P.D.
• Blair Keener, LCSW
• Hari Simran Singh Khalsa, D.C.
• Nicholas Klauba I, O.D.
• Kallen Kobayashi
• Eugene Kroon, M.D.
• Smith Debrey Krueger, MA, LMHC

• Mental Health Counselor in Kapaa, HI
• Providers in Kapaa, HI by specialty
• Mental Health Counselor in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2021; 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.