Kelly Lynn Donovan, M.A, M.F.T.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

179 Issued in HI

Practice address

75-5591 Kuakini Hwy Ste 3006
Kailua Kona, HI 96740

Phone

(808) 938-4162

Fax

(808) 331-8485

NPI assigned

Nov 26, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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.

• Akamia Wellness Servies

  • Community/Behavioral Health Agency
  • Kailua Kona, HI
  • NPI 1124708144
  NPD Authorized official

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

{
    "created_epoch": "1196035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197331200000",
    "number": "1851572341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73-4322 KEOKEO ST",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967408540",
            "telephone_number": "808-938-4162",
            "fax_number": "808-331-8485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75-5591 KUAKINI HWY STE 3006",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "96740",
            "telephone_number": "808-938-4162",
            "fax_number": "808-331-8485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONOVAN",
        "first_name": "KELLY",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "M.A, M.F.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-26",
        "last_updated": "2007-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "HI",
            "license": "179",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aimee A Disharoon, CPM, LM
• Walter Douglas Disney Jr., PHARM D
• Janet Ditto, PA
• Aaron James Dodson, DC
• Gordon T. Dong, P.T.
• Katrina Elise Downey, PHARMD
• Jacquelyn Doxie King, PH.D
• Dr Ashley & Associates LLC
• Dr P G Rajan MD Inc
• Dr. Au LLC

• Marriage & Family Therapist in Kailua Kona, HI
• Providers in Kailua Kona, 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 Dec 11, 2007; 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.