Individual provider Active NPI

Andrea Noel Vanpatten, LMFT

  • Marriage & Family Therapist
  • Paia, HI
National Provider Identifier
1790958874
Registry record updated Nov 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
251 Issued in HI
Practice address
913 Baldwin Ave
Paia, HI 96779
Phone
(808) 269-4603
Fax
(808) 579-6020
NPI assigned
Apr 9, 2008
Last updated
Nov 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Marriage & Family Therapist 106H00000X 251 HI Primary

Addresses

Primary practice location

913 Baldwin Ave
Paia, HI 96779

Mailing address

PO Box 790006
Paia, HI 96779-0006
Phone (808) 269-4603

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240927001387 HI Practitioner - Marriage and Family Therapist 7012368731 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2007
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3660 Baldwin Ave
Suite 205
Makawao, HI 96768-7503
Phone (808) 269-4603

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
251HIMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Andrea Van Patten LMFT LLC Marriage & Family Therapist CurrentSince Aug 1, 2024 Accepting new patients
Maui Youth and Family Services Inc Past Accepting new patients

Locations

3660 Baldwin Ave
Ste 205
Makawao, HI 96768
Phone (808) 269-4603

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1207699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1790958874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 790006",
            "city": "PAIA",
            "state": "HI",
            "postal_code": "967790006",
            "telephone_number": "808-269-4603",
            "fax_number": "808-579-6020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 BALDWIN AVE",
            "city": "PAIA",
            "state": "HI",
            "postal_code": "96779",
            "telephone_number": "808-269-4603",
            "fax_number": "808-579-6020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANPATTEN",
        "first_name": "ANDREA",
        "middle_name": "NOEL",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-09",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "HI",
            "license": "251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paia, HI

Sources for this page

Verify at the official NPI Registry.