Theresa Renee Wilson Hasting, LPC-S
Individual provider Active NPI Professional Counselor · Hilo, HI
NPI 1881024594 · NPPES record last updated Jan 11, 2023
Key facts
- NPI
- 1881024594
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 61414 (TX)
- Practice address
- 64 Keawe St Ste 204
Hilo, HI 96720-2486 - Phone
- (470) 655-6278
- Fax
- (877) 760-0394
- NPI assigned
- Nov 15, 2013
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Sep 28, 2024 through Sep 28, 2026
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61414 | TX | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 61414 | TX | Yes |
Addresses
Primary practice location
64 Keawe St Ste 204
Hilo, HI 96720-2486
Mailing address
64 Keawe St Ste 204
Hilo, HI 96720-2486
Phone (470) 655-6278
Other providers in Hilo, HI
- Harvey C. Chong, D.D.S., Inc.
- David Mark Hashimoto
- Jan A Hashimoto
- Melissa Hashimoto
- Michael Hasis
- Yoko Hatada
- Cassie Hattori-Hassard
- Heidi Hauki
- Stacy Haumea
- Hawaii Advanced Vascular Center
All providers in Hilo, HI · Professional Counselor in Hawaii
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 11, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.