Kokua Support Services

Primary specialty

CounselorTaxonomy code 101Y00000X

License

10694948 Issued in HI

Legal business name

KOKUA SUPPORT SERVICES

Practice address

1803 N King St
Honolulu, HI 96819-3451

Phone

(808) 847-4227

Fax

(808) 842-0044

NPI assigned

Aug 26, 2014

Organization subpart

No

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

Authorized official

Name

Tristyn Haxton, MSCP,CSAC, SAP

Title

President

Phone

(808) 847-5777

Specialties & licenses 8

Addresses

Tax ID family

Kokua Support Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Kokua Support Services

  • Mental Health Counselor
  • Honolulu, HI
  • NPI 1922756642
  NPD tax ID

Locations

Practitioners 1

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

• Tristyn Kalama, MSCP, CSAC, ICADC

  • Addiction (Substance Use Disorder) Counselor
  • Honolulu, HI
  • NPI 1073916177
  NPD

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

{
    "created_epoch": "1409011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412208000000",
    "number": "1922408020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17870",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968170870",
            "telephone_number": "808-847-4227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1803 N KING ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968193451",
            "telephone_number": "808-847-4227",
            "fax_number": "808-842-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOKUA SUPPORT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-26",
        "last_updated": "2014-10-02",
        "status": "A",
        "authorized_official_last_name": "HAXTON",
        "authorized_official_first_name": "TRISTYN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-847-5777",
        "authorized_official_credential": "MSCP,CSAC, SAP"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "HI",
            "license": "10694948",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "HI",
            "license": "10694948",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "HI",
            "license": "10694948",
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Pastoral",
            "state": "HI",
            "license": "10694948",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "HI",
            "license": "10694948",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": "HI",
            "license": "10694948",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "HI",
            "license": "10694948",
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "HI",
            "license": "10694948",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kokua Kalihi Valley Comprehensive Family Services
• Kokua Kalihi Valley Comprehensive Family Services
• Kokua Kalihi Valley Comprehensive Family Services
• Kokua Mental Health and Wellness LLC
• Kokua Nurses, Inc.
• Kokua Support Services
• Kokua Therapy Services, LLC
• Yoko Kokuni, PH.D
• Kolea Home Care
• Shelby Kolek

• Counselor in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Counselor in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2014; 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.