Active NPI
John H Threlfall, MA, MFT
- Marriage & Family Therapist
- Hilo, HI
National Provider Identifier
1790019073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 223
- Practice address
- 56 Waianuenue Ave
214
Hilo, HI 96720-2474 - Phone
- (808) 967-7613
- NPI assigned
- Sep 19, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 223 | HI | Primary |
Addresses
Primary practice location
56 Waianuenue Ave
214
Hilo, HI 96720-2474
Mailing address
PO Box 757
Volcano, HI 96785-0757
Phone (808) 967-7613
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 223 | HI | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1253318400000",
"number": "1790019073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 757",
"city": "VOLCANO",
"state": "HI",
"postal_code": "967850757",
"telephone_number": "808-967-7613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "56 WAIANUENUE AVE",
"address_2": "214",
"city": "HILO",
"state": "HI",
"postal_code": "967202474",
"telephone_number": "808-967-7613"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THRELFALL",
"first_name": "JOHN",
"middle_name": "H",
"name_prefix": "Mr.",
"credential": "MA, MFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-09-19",
"last_updated": "2009-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "HI",
"license": "223",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hilo, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.