Individual provider Active NPI

Carmen Amanda Cook, LMFT

  • Marriage & Family Therapist
  • Makawao, HI
National Provider Identifier
1902120876
Registry record updated Mar 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
515 Issued in HI
Practice address
81 Makawao Ave Ste 205
Makawao, HI 96768-8859
Phone
(808) 359-4448
NPI assigned
Mar 22, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LMFT51235 CA
Marriage & Family Therapist 106H00000X 515 HI Primary

Addresses

Primary practice location

81 Makawao Ave Ste 205
Makawao, HI 96768-8859

Mailing address

PO Box 475
Makawao, HI 96768-0475
Phone (808) 359-4448

Other practice location 1

1063 Lower Main St Ste C211A213
Wailuku, HI 96793-2038
Phone (808) 359-4448

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
I20240826002741 HI Practitioner - Marriage and Family Therapist 8729527403 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
515HIMDBehavioral Analyst
LMFT51235CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Carmen Cook Therapy, Inc. CurrentSince Mar 28, 2024 Accepting new patients

Locations

81 Makawao Ave
Ste 205
Makawao, HI 96768
Phone (808) 359-4448

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1269216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679443200000",
    "number": "1902120876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 475",
            "city": "MAKAWAO",
            "state": "HI",
            "postal_code": "967680475",
            "telephone_number": "808-359-4448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 MAKAWAO AVE STE 205",
            "city": "MAKAWAO",
            "state": "HI",
            "postal_code": "967688859",
            "telephone_number": "808-359-4448"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1063 Lower Main St Ste C211A213",
            "address_purpose": "LOCATION",
            "city": "Wailuku",
            "state": "HI",
            "postal_code": "967932038",
            "country_code": "US",
            "telephone_number": "808-359-4448",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOK",
        "first_name": "CARMEN",
        "middle_name": "AMANDA",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-22",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT51235",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "HI",
            "license": "515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Makawao, HI

Sources for this page

Verify at the official NPI Registry.