Individual provider Active NPI

Casha TK Demello, LMHC

  • Mental Health Counselor
  • Honolulu, HI
National Provider Identifier
1891364980
Registry record updated May 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MHC-603 Issued in HI
Practice address
1130 Koko Head Ave Ste 2
Honolulu, HI 96816-3771
Phone
(808) 722-5245
Fax
(949) 655-7880
NPI assigned
Jun 22, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MHC-603 HI Primary

Addresses

Primary practice location

1130 Koko Head Ave Ste 2
Honolulu, HI 96816-3771

Mailing address

2915 Robert PL
Honolulu, HI 96816-1719
Phone (808) 722-5245

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MHC-603HIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sabra Della Lucia LLC CurrentSince May 7, 2023 Accepting new patients

Locations

1130 Koko Head Ave
Ste 2
Honolulu, HI 96816
Phone (808) 520-6973

Organizations & group practices 1

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": "1624320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682985600000",
    "number": "1891364980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2915 ROBERT PL",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968161719",
            "telephone_number": "808-722-5245",
            "fax_number": "949-655-7880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 KOKO HEAD AVE STE 2",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968163771",
            "telephone_number": "808-722-5245",
            "fax_number": "949-655-7880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMELLO",
        "first_name": "CASHA",
        "middle_name": "TK",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-22",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "HI",
            "license": "MHC-603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2023; 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.