Christenia Bacon, PSYD, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

4924 Issued in HI

Practice address

142 Hoopili Akau St
Kihei, HI 96753-7571

Phone

(808) 250-3860

NPI assigned

Feb 28, 2024

Last updated

Mar 9, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Village Perinatal Program LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Haleiwa, HI
  • NPI 1285502880

  Clinical

  NPD Authorized official

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

{
    "created_epoch": "1709078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773014400000",
    "number": "1851157622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 HOOPILI AKAU ST",
            "city": "KIHEI",
            "state": "HI",
            "postal_code": "967537571",
            "telephone_number": "808-250-3860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 HOOPILI AKAU ST",
            "city": "KIHEI",
            "state": "HI",
            "postal_code": "967537571",
            "telephone_number": "808-250-3860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACON",
        "first_name": "CHRISTENIA",
        "name_prefix": "Dr.",
        "credential": "PSYD, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-28",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "HI",
            "license": "4924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aspen Speech Therapy and Rehabilitation LLC
• Remedios Atijera
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• Raenell Bacarro
• Frances Astorga Bacchus, MSN, NP-C
• Mary Margaret Baker, MSN, MHS, RNC, FNP
• Moriah Balanco, RBT
• Tiffany Banggo
• Banyan Wellness Center LLC
• Jerrold Trent Barclay, PT

• Clinical Social Worker in Kihei, HI
• Providers in Kihei, HI by specialty
• Clinical Social Worker in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2026; 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.