Crown Vision Creation Group Int'L Inc

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

CROWN VISION CREATION GROUP INT'L INC

Practice address

187 Halai St
Hilo, HI 96720-2023

Phone

(808) 852-2338

NPI assigned

Sep 15, 2018

Organization subpart

No

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

Authorized official

Name

Jacqueline C Van Loon, MA

Title

Director

Phone

(808) 852-2338

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1536969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536969600000",
    "number": "1811471865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 HALAI ST",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202023",
            "telephone_number": "808-852-2338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "187 HALAI ST",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202023",
            "telephone_number": "808-852-2338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROWN VISION CREATION GROUP INT'L INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-15",
        "last_updated": "2018-09-15",
        "status": "A",
        "authorized_official_last_name": "VAN LOON",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "808-852-2338",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bobbie Jean Kiana Crivello, RN
• Tifaine Crivello
• Crna Group LLC
• Gayle Ann Crosley, APRN-RX
• Gail Y Crosthwaite, OTR
• Shelley Cua-Enriquez
• Pamela Cuarisma
• Briauncey Kahunani Kuuipolani Cuffe-Prudencio
• Phyllis Anne Cullen, M.D.
• Jack Cunningham

• Mental Health Counselor in Hilo, HI
• Providers in Hilo, HI by specialty
• Mental Health Counselor in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2018; 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.