Mentaloha LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

MENTALOHA LLC

Practice address

4210 Hanahao PL Ste 202
Lihue, HI 96766-9036

Phone

(808) 725-2008

Fax

(808) 461-7098

NPI assigned

Dec 6, 2022

Last updated

Dec 6, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Matthew Jenkins, APRNNPI 1295457471

Title

Manager

Phone

(808) 725-2008

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Matthew D Jenkins, APRN-RX, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Lihue, HI
  • NPI 1295457471

  Single Specialty

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1670284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670284800000",
    "number": "1881305357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4144 AIKEPA ST",
            "city": "LIHUE",
            "state": "HI",
            "postal_code": "967668131",
            "telephone_number": "808-855-5775",
            "fax_number": "808-461-7098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4210 HANAHAO PL STE 202",
            "city": "LIHUE",
            "state": "HI",
            "postal_code": "967669036",
            "telephone_number": "808-725-2008",
            "fax_number": "808-461-7098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTALOHA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-06",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "808-725-2008",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004616",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Remedios Meints
• Brandi Melchor
• Melissa Wilson LMFT LLC
• Melinda Joyce Menezes, MD
• Mental Health Kokua
• Gussie Merritt, PT, DPT
• James Mertens
• Cherish Mexia
• MGM Patient Care Services
• Michael S Braun, MD LLC

• Psychiatric/Mental Health Nurse Practitioner in Lihue, HI
• Providers in Lihue, HI by specialty
• Psychiatric/Mental Health Nurse Practitioner in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.