Organization Active NPI

John S. Chock, LLC

  • Mental Health Counselor
  • Honolulu, HI
National Provider Identifier
1912533167
Registry record updated Mar 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
JOHN S. CHOCK, LLC
Practice address
438 Hobron LN
Honolulu, HI 96815-1233
Phone
(808) 284-0455
Fax
(808) 564-0055
NPI assigned
Mar 19, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2020

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

Authorized official

Name
Mr. John S Chock, MHCNPI 1245606862
Title
Manager
Phone
(808) 284-0455

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: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

438 Hobron LN
Honolulu, HI 96815-1233

Mailing address

1948 Nehoa PL
Honolulu, HI 96822-3068
Phone (808) 284-0455

Other identifiers 1

IdentifierTypeStateIssuer
818908MedicaidHI

National Provider Directory

National Provider Directory

Locations

438 Hobron Ln
Honolulu, HI 96815
Phone (808) 284-0455

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1584576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584576000000",
    "number": "1912533167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1948 NEHOA PL",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968223068",
            "telephone_number": "808-284-0455",
            "fax_number": "808-564-0055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "438 HOBRON LN",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968151233",
            "telephone_number": "808-284-0455",
            "fax_number": "808-564-0055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN S. CHOCK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-19",
        "last_updated": "2020-03-19",
        "certification_date": "2020-03-19",
        "status": "A",
        "authorized_official_last_name": "CHOCK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "808-284-0455",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "818908",
            "state": "HI"
        }
    ],
    "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 Mar 19, 2020; 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.