Individual provider Active NPI

Melissa A Hogan, M.S.C.P.

  • Mental Health Counselor
  • Honolulu, HI
National Provider Identifier
1922444843
Registry record updated May 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
210 Ward Ave
Suite 219B
Honolulu, HI 96814-4008
Phone
(808) 585-1424
Fax
(808) 585-0379
NPI assigned
May 18, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2013

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 HI Primary

Addresses

Primary practice location

210 Ward Ave
Suite 219B
Honolulu, HI 96814-4008

Mailing address

91-1210 Kaileolea Dr
2L2
Ewa Beach, HI 96706-6241
Phone (808) 372-1952

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
I20240131003560 HI Practitioner - Mental Health Counselor 2466805932 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

401 Kamakee St
Suite 417
Honolulu, HI 96814-4261
Phone (808) 372-1952

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Wellness, LLC CurrentSince Jan 11, 2024 Accepting new patients
Mana Psychological Services Corp Mental Health CurrentSince Jan 11, 2024 Accepting new patients

Locations

401 Kamakee St
Ste 417
Honolulu, HI 96814
Phone (808) 369-0796

1600 Kapiolani Blvd
Ste 524
Honolulu, HI 96814
Phone (808) 203-3399

Organizations & group practices 2

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": "1368835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368835200000",
    "number": "1922444843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91-1210 KAILEOLEA DR",
            "address_2": "2L2",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967066241",
            "telephone_number": "808-372-1952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 WARD AVE",
            "address_2": "SUITE 219B",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968144008",
            "telephone_number": "808-585-1424",
            "fax_number": "808-585-0379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOGAN",
        "first_name": "MELISSA",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "M.S.C.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-18",
        "last_updated": "2013-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "HI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.