Active NPI
Kailua Counseling Services
- Mental Health Counselor
- Kailua, HI
National Provider Identifier
1790541530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- KAILUA COUNSELING SERVICES
- Practice address
- 1233 Ulupii St
Kailua, HI 96734-4304 - Phone
- (808) 782-8353
- NPI assigned
- Feb 27, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Tyra I Dahlin, LMHC
- Title
- Mental Health Counselor
- Phone
- (808) 782-8353
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
1233 Ulupii St
Kailua, HI 96734-4304
Mailing address
1233 Ulupii St
Kailua, HI 96734-4304
Phone (808) 782-8353
National Provider Directory
National Provider DirectoryPractitioners & 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": "1790541530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1233 ULUPII ST",
"city": "KAILUA",
"state": "HI",
"postal_code": "967344304",
"telephone_number": "808-782-8353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1233 ULUPII ST",
"city": "KAILUA",
"state": "HI",
"postal_code": "967344304",
"telephone_number": "808-782-8353"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KAILUA COUNSELING SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-27",
"last_updated": "2024-02-27",
"certification_date": "2024-02-27",
"status": "A",
"authorized_official_last_name": "DAHLIN",
"authorized_official_first_name": "TYRA",
"authorized_official_middle_name": "I",
"authorized_official_title_or_position": "MENTAL HEALTH COUNSELOR",
"authorized_official_telephone_number": "808-782-8353",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LMHC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kailua, HI
- John Blaze Kahookele
- Kailua Acupuncture Clinic
- Kailua Center for Progressive Dentistry, LLC
- Kailua Chiropractic Inc
- Kailua Comfort Clinic
- Kailua Dermatology Associates LTD
- Kailua Dermatology Centers of Hawaii, LLC
- Kailua Ear, Nose and Throat LLC
- Kailua Early Intervention Program
- Kailua Family Dental LLC
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.