Individual provider Active NPI

Kelsey A Wright, LMFT

  • Marriage & Family Therapist
  • Kailua, HI
National Provider Identifier
1790414548
Registry record updated Jun 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT-779-0 Issued in HI
Practice address
767 Kailua Rd
Kailua, HI 96734-2842
Phone
(808) 342-4898
NPI assigned
Jun 7, 2022
Last updated
Jun 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFT-779-0 HI Primary

Addresses

Primary practice location

767 Kailua Rd
Kailua, HI 96734-2842

Mailing address

729 Wanaao PL
Kailua, HI 96734-3550
Phone (808) 342-4898

Other identifiers 1

IdentifierTypeStateIssuer
MFT-779-0OtherHILICENSE OF MARRIAGE & FAMILY THERAPIST

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Kailua

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

State licenses

LicenseStateTypeSpecialty
MFT-779-0HIMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1654560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654560000000",
    "number": "1790414548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "729 WANAAO PL",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967343550",
            "telephone_number": "808-342-4898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "767 KAILUA RD",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342842",
            "telephone_number": "808-342-4898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "KELSEY",
        "middle_name": "A",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-07",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "HI",
            "license": "MFT-779-0",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE OF MARRIAGE & FAMILY THERAPIST",
            "identifier": "MFT-779-0",
            "state": "HI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Kailua",
            "affiliation": "N",
            "address_1": "767 Kailua Rd",
            "city": "Kailua",
            "state": "HI",
            "country_code": "US",
            "postal_code": "967342842",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kailua, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; 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.