Chenoa R Otero Berdecia

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

91-2128 Old Ft Weaver Rd
Ewa Beach, HI 96706-1911

Phone

(808) 589-1829

NPI assigned

Apr 8, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hale Kipa, Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Ewa Beach, HI
  • NPI 1164627246

  Mental Health

  NPD

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

{
    "created_epoch": "1712534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1770336166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91-2128 OLD FT WEAVER RD",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967061911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91-2128 OLD FT WEAVER RD",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967061911",
            "telephone_number": "808-589-1829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTERO BERDECIA",
        "first_name": "CHENOA",
        "middle_name": "R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-08",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Queen Victoria Opol
• Optimal Wound Solutions LLC
• Erlinda D Ortal, CCFFH OPERATOR
• Mary Ellayn Ortal
• Merrie Oshiro
• Rodgers Otieno
• Mischa Loren Pacada, DC
• Christina Mahealani Pacheco
• Terri Lyn Pacheco, FNP-C
• Witnie Pacheco

• Mental Health Counselor in Ewa Beach, HI
• Providers in Ewa Beach, 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 Apr 8, 2024; 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.