Active NPI
Kelen C Moana
- Counselor
- Waipahu, HI
National Provider Identifier
1760613459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- MHC - 330
- Practice address
- 94-210 Pupukahi St Ste 207
Waipahu, HI 96797-2649 - Phone
- (808) 554-1163
- Fax
- (808) 681-1486
- NPI assigned
- Jul 29, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | MHC - 330 | HI | Primary |
Addresses
Primary practice location
94-210 Pupukahi St Ste 207
Waipahu, HI 96797-2649
Mailing address
PO Box 325
Waianae, HI 96792-0325
Phone (808) 554-1163
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MHC - 330 | HI | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581379200000",
"number": "1760613459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 325",
"city": "WAIANAE",
"state": "HI",
"postal_code": "967920325",
"telephone_number": "808-554-1163"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "94-210 PUPUKAHI ST STE 207",
"city": "WAIPAHU",
"state": "HI",
"postal_code": "967972649",
"telephone_number": "808-554-1163",
"fax_number": "808-681-1486"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOANA",
"first_name": "KELEN",
"middle_name": "C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-29",
"last_updated": "2020-02-11",
"certification_date": "2020-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "HI",
"license": "MHC - 330",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waipahu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.