Emilyann Rose Shupe, MSCP, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

548 Issued in HI

Practice address

438 Hobron LN Ste 405
Honolulu, HI 96815-1229

Phone

(808) 941-9648

NPI assigned

Jan 28, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Emilyann Rose Nierenberg Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Optum Behavioral Care of Ohio, Inc

  • Counseling Psychologist
  • Honolulu, HI
  • NPI 1548036239
  NPD (past)
• Optum Behavioral Care of Ohio, Inc.

  • Clinical Social Worker
  • Maryland Heights, MO
  • NPI 1528945623
  NPD (past)

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

{
    "created_epoch": "1548633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548633600000",
    "number": "1821552472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 UNIVERSITY AVE APT 701",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968265008",
            "telephone_number": "818-219-8209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "438 HOBRON LN STE 405",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968151229",
            "telephone_number": "808-941-9648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUPE",
        "first_name": "EMILYANN",
        "middle_name": "ROSE",
        "name_prefix": "Mrs.",
        "credential": "MSCP, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-28",
        "last_updated": "2019-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "HI",
            "license": "548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILYANN",
            "last_name": "NIERENBERG",
            "middle_name": "ROSE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Grayden J Shull, CRNA
• Jessica Lynn Shull, RN
• Lisa Shuman
• Laura M Shumock, NP
• Lyndell Ann Shunk, RN
• Marissa Sia, PSYD, MA
• Michael Hung Tai Sia, M.D.
• Rayden T. Siador, ATC
• Rachaell Siah, MSCP
• Lynn Chiemi Takamiya Sialana, OTR

• Marriage & Family Therapist in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Marriage & Family Therapist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2019; 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.