Active NPI
Theresa Renee Wilson Hasting, LPC-S
- Professional Counselor
- Hilo, HI
National Provider Identifier
1881024594
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 61414
- Practice address
- 64 Keawe St Ste 204
Hilo, HI 96720-2486 - Phone
- (470) 655-6278
- Fax
- (877) 760-0394
- NPI assigned
- Nov 15, 2013
- Last updated
- Jan 11, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 61414 | TX | Primary |
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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Previously, effective Sep 28, 2024 through Sep 28, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61414 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673395200000",
"number": "1881024594",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "64 KEAWE ST STE 204",
"city": "HILO",
"state": "HI",
"postal_code": "967202486",
"telephone_number": "470-655-6278",
"fax_number": "877-760-0394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "64 KEAWE ST STE 204",
"city": "HILO",
"state": "HI",
"postal_code": "967202486",
"telephone_number": "470-655-6278",
"fax_number": "877-760-0394"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASTING",
"first_name": "THERESA",
"middle_name": "RENEE WILSON",
"credential": "LPC-S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-11-15",
"last_updated": "2023-01-11",
"certification_date": "2023-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "61414",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hilo, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.