Individual provider Active NPI

Amanda-Sue M Mahuka, LMHC

  • Mental Health Counselor
  • Waianae, HI
National Provider Identifier
1821525379
Registry record updated Dec 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
84-755 Ala Mahiku St Apt 66a
Waianae, HI 96792-1722
Phone
(808) 351-6944
NPI assigned
May 16, 2017
Last updated
Dec 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2024

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 Primary

Addresses

Primary practice location

84-755 Ala Mahiku St Apt 66a
Waianae, HI 96792-1722

Mailing address

84-755 Ala Mahiku St Apt 66a
Waianae, HI 96792-1722
Phone (808) 351-6944

Other names 1

  • Amanda-Sue Mahuka Former name

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
I20240108005456 HI Practitioner - Mental Health Counselor 5092166686 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness Partners Hawaii PHP and Iop, LLC CurrentSince Jun 30, 2024 Accepting new patients
Wellness Partners Hawaii Inc CurrentSince Jan 1, 2024 Accepting new patients

Locations

6700 Kalanianaole Hwy
Ste 201
Honolulu, HI 96825
Phone (808) 264-4915

850 W Hind Dr
Ste 116
Honolulu, HI 96821
Phone (808) 379-6656

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": "1494892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734048000000",
    "number": "1821525379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84-755 ALA MAHIKU ST APT 66A",
            "city": "WAIANAE",
            "state": "HI",
            "postal_code": "967921722",
            "telephone_number": "808-351-6944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84-755 ALA MAHIKU ST APT 66A",
            "city": "WAIANAE",
            "state": "HI",
            "postal_code": "967921722",
            "telephone_number": "808-351-6944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHUKA",
        "first_name": "AMANDA-SUE",
        "middle_name": "M",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-16",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA-SUE",
            "last_name": "MAHUKA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Waianae, HI

Sources for this page

Verify at the official NPI Registry.