NPIMap

Organization Active NPI

Living Pono Mental Health LLC

  • Mental Health Counselor
  • Honolulu, HI
National Provider Identifier
1902521750
Registry record updated Oct 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
LIVING PONO MENTAL HEALTH LLC
Practice address
1670 Makaloa St Ste 204-318
Honolulu, HI 96814-3232
Phone
(808) 291-2411
NPI assigned
Oct 4, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2022

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

Authorized official

Name
Vanessa Anne Graff, LMHC, LPCNPI 1255882031
Title
Owner
Phone
(360) 953-3199

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

1670 Makaloa St Ste 204-318
Honolulu, HI 96814-3232

Mailing address

7700 NE Parkway Dr Ste 215
Vancouver, WA 98662-6653

Other identifiers 1

IdentifierTypeStateIssuer
1255882031OtherNPI

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.livingponomh.com

National Provider Directory

National Provider Directory

Locations

1670 Makaloa St
Ste 204318
Honolulu, HI 96814
Phone (808) 291-2411

7700 NE Parkway Dr
Ste 215
Vancouver, WA 98662
Phone (213) 550-5294

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1664841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664841600000",
    "number": "1902521750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7700 NE PARKWAY DR STE 215",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986626653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1670 MAKALOA ST STE 204-318",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968143232",
            "telephone_number": "808-291-2411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING PONO MENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-04",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A",
        "authorized_official_last_name": "GRAFF",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-953-3199",
        "authorized_official_credential": "LMHC, LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1255882031",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.livingponomh.com",
            "affiliation": "N",
            "address_1": "1670 Makaloa St Ste 204-318",
            "city": "Honolulu",
            "state": "HI",
            "country_code": "US",
            "postal_code": "968143232",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Oct 4, 2022; 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.