Individual provider Active NPI

Candee Dione Rillon

  • Mental Health Counselor
  • Pahoa, HI
National Provider Identifier
1780129874
Registry record updated Aug 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
780 Issued in HI
Practice address
15-2760 Kumu St
Pahoa, HI 96778-9205
Phone
(808) 895-0458
NPI assigned
Dec 27, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Counselor 101YS0200X HI
Mental Health Counselor 101YM0800X 780 HI Primary

Addresses

Primary practice location

15-2760 Kumu St
Pahoa, HI 96778-9205

Mailing address

15-2760 Kumu St
Pahoa, HI 96778-9205
Phone (808) 895-0458

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
I20251117003503 HI Practitioner - Mental Health Counselor 6709377807 Practice locations: Pahoa, HI

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Pahoa, HI 96778
Phone (808) 895-0458

15 -2760 Kumu St
Pahoa, HI 96778-9202

16 -2087 Ainaloa Dr
Pahoa, HI 96778-7537

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
780HIMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1482796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630368000000",
    "number": "1780129874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15-2760 KUMU ST",
            "city": "PAHOA",
            "state": "HI",
            "postal_code": "967789205",
            "telephone_number": "808-895-0458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15-2760 KUMU ST",
            "city": "PAHOA",
            "state": "HI",
            "postal_code": "967789205",
            "telephone_number": "808-895-0458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RILLON",
        "first_name": "CANDEE",
        "middle_name": "DIONE",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-27",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "HI",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "HI",
            "license": "780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pahoa, HI

Sources for this page

Verify at the official NPI Registry.