Individual provider Active NPI

Sonya Beth Chambliss-Alexander, LCSW

  • Professional Counselor
  • Lahaina, HI
National Provider Identifier
1881995900
Registry record updated Jul 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3861 Issued in HI
Practice address
10 Hoohui Rd
Ste 207
Lahaina, HI 96761-9256
Phone
(808) 250-9405
Fax
(808) 442-1056
NPI assigned
Nov 5, 2010
Last updated
Jul 3, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 3861 HI Primary
Clinical Social Worker 1041C0700X LCSW-12927 AZ

Addresses

Primary practice location

10 Hoohui Rd
Ste 207
Lahaina, HI 96761-9256

Mailing address

140 Kahana Ridge Dr
Lahaina, HI 96761-8314
Phone (808) 250-9406

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230628002315 HI Practitioner - Clinical Social Worker 5395103089 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Aloha House, Inc.Group PAC ID 8426948316, 15 clinicians

Practice addresses (Care Compare)

135 S Wakea Ave
Suite 201
Kahului, HI 96732-1385
Phone (808) 249-2121

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3861HIMDProfessional Counselor
LCSW-12927AZMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Aloha House, Inc. CurrentSince Jun 1, 2023 Accepting new patients
Sonya B Chambliss Counseling Services Past Accepting new patients

Locations

135 S Wakea Ave
Ste 201
Kahului, HI 96732
Phone (808) 249-2121

1787 Wili Pa Loop
Ste 7
Wailuku, HI 96793
Phone (808) 249-2121

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1288915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404345600000",
    "number": "1881995900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 KAHANA RIDGE DR",
            "city": "LAHAINA",
            "state": "HI",
            "postal_code": "967618314",
            "telephone_number": "808-250-9406",
            "fax_number": "808-442-1056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 HOOHUI RD",
            "address_2": "STE 207",
            "city": "LAHAINA",
            "state": "HI",
            "postal_code": "967619256",
            "telephone_number": "808-250-9405",
            "fax_number": "808-442-1056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMBLISS-ALEXANDER",
        "first_name": "SONYA",
        "middle_name": "BETH",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-05",
        "last_updated": "2014-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "HI",
            "license": "3861",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-12927",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lahaina, HI

Sources for this page

Verify at the official NPI Registry.