Active NPI
Debra Poole Counadis
- Clinical Social Worker
- Kaaawa, HI
National Provider Identifier
1811245509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 3850
- Practice address
- 51-436 Kekio Road
Kaaawa, HI 96730 - Phone
- (808) 233-9968
- NPI assigned
- Aug 28, 2012
- Last updated
- Oct 16, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 3850 | HI | Primary |
Addresses
Primary practice location
51-436 Kekio Road
Kaaawa, HI 96730
Mailing address
PO Box 641
Kaaawa, HI 96730-0641
Phone (808) 233-9968
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3850 | HI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729036800000",
"number": "1811245509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 641",
"city": "KAAAWA",
"state": "HI",
"postal_code": "967300641",
"telephone_number": "808-233-9968"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51-436 KEKIO ROAD",
"city": "KAAAWA",
"state": "HI",
"postal_code": "96730",
"telephone_number": "808-233-9968"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COUNADIS",
"first_name": "DEBRA",
"middle_name": "POOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-28",
"last_updated": "2024-10-16",
"certification_date": "2024-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "HI",
"license": "3850",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kaaawa, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.