Erin Sullivan Kuykendall – Mental Health Counselor

Key facts

NPI: 1790318459
Entity type: Individual (NPI type 1)
Primary specialty: Mental Health Counselor 101YM0800X
Practice address: 91-2128 Old Fort Weaver Road
Ewa, HI 96706
Phone: (808) 589-1829
NPI assigned: Feb 20, 2020
Sex: Female
Sole proprietor: No

Organizations & group practices 1

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

NPD MENTAL HEALTH

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

Practice roles

Organization	Specialty	Status	New patients
Hale Kipa, Inc.	Mental Health	Current since May 14, 2023	Accepting new patients

Locations

91-2128 Fort Weaver Rd
Ewa Beach, HI 96706
Phone (808) 738-6814

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Mental Health Counselor	101YM0800X			Yes

Addresses

Primary practice location

91-2128 Old Fort Weaver Road
Ewa, HI 96706

Mailing address

91-2128 Old Fort Weaver Road
Ewa, HI 96706
Phone (808) 589-1829

Electronic endpoints

Type	Endpoint	Use	Affiliation
Other URL	Ewa

Other providers in Ewa, HI

Sean Gregory Scully

All providers in Ewa, HI · Mental Health Counselor in Hawaii

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 20, 2020. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.