Individual provider Active NPI

Michelle Lee Rocca, LMHC

  • Mental Health Counselor
  • Ewa Beach, HI
National Provider Identifier
1811454366
Registry record updated Mar 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MHC-584 Issued in HI
Practice address
91-2128 Old Ft Weaver Rd
Ewa Beach, HI 96706-1911
Phone
(808) 589-1829
Fax
(808) 589-2610
NPI assigned
Feb 20, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MHC-584 HI Primary

Addresses

Primary practice location

91-2128 Old Ft Weaver Rd
Ewa Beach, HI 96706-1911

Mailing address

91-2128 Old Ft Weaver Rd
Ewa Beach, HI 96706-1911
Phone (808) 589-1829

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
MHC-584HIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Hale Kipa, Inc. Mental Health CurrentSince May 14, 2023 Accepting new patients

Locations

91-2128 Fort Weaver Rd
Ewa Beach, HI 96706
Phone (808) 738-6814

615 Piikoi St
Ste 203
Honolulu, HI 96814
Phone 8085891829 ext. 114

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1550620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614729600000",
    "number": "1811454366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91-2128 OLD FT WEAVER RD",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967061911",
            "telephone_number": "808-589-1829",
            "fax_number": "808-589-2610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91-2128 OLD FT WEAVER RD",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967061911",
            "telephone_number": "808-589-1829",
            "fax_number": "808-589-2610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCCA",
        "first_name": "MICHELLE",
        "middle_name": "LEE",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-20",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "HI",
            "license": "MHC-584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ewa Beach, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2021; 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.