Organization Active NPI

Andrea Kumura LCSW Acsw LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Honolulu, HI
National Provider Identifier
1780440552
Registry record updated Feb 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
ANDREA KUMURA LCSW ACSW LLC
Practice address
3828A Claudine St
Honolulu, HI 96816-4378
Phone
(808) 203-4250
Fax
(808) 201-5267
NPI assigned
Feb 27, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2024

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

Authorized official

Name
Ms. Andrea Akemi Kumura, LCSWNPI 1962467340
Title
Owner
Phone
(808) 203-4250

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

3828A Claudine St
Honolulu, HI 96816-4378

Mailing address

4348 Waialae Ave # 526
Honolulu, HI 96816-5767
Phone (808) 203-4250

Other names 1

  • Andrea Kumura LCSW Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1708992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708992000000",
    "number": "1780440552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4348 WAIALAE AVE # 526",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968165767",
            "telephone_number": "808-203-4250",
            "fax_number": "808-201-5267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3828A CLAUDINE ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968164378",
            "telephone_number": "808-203-4250",
            "fax_number": "808-201-5267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREA KUMURA LCSW ACSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-27",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A",
        "authorized_official_last_name": "KUMURA",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "AKEMI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-203-4250",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Andrea Kumura LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.