Active NPI
Crystal Caraballo
- Counselor
- Keaau, HI
National Provider Identifier
1790610046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 15-1525 26TH Ave
Keaau, HI 96749 - Phone
- (808) 989-1528
- NPI assigned
- Jun 17, 2026
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | HI | Primary |
Addresses
Primary practice location
15-1525 26TH Ave
Keaau, HI 96749
Mailing address
PO Box 1150
Keaau, HI 96749-1150
Phone (808) 989-1528
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1781654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781654400000",
"number": "1790610046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1150",
"city": "KEAAU",
"state": "HI",
"postal_code": "967491150",
"telephone_number": "808-989-1528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15-1525 26TH AVE",
"city": "KEAAU",
"state": "HI",
"postal_code": "96749",
"telephone_number": "808-989-1528"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARABALLO",
"first_name": "CRYSTAL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-06-17",
"last_updated": "2026-06-17",
"certification_date": "2026-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "HI",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Keaau, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.