Kokua Support Services

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

KOKUA SUPPORT SERVICES

Practice address

1130 N Nimitz Hwy RM A226
Honolulu, HI 96817-5781

Phone

(808) 847-4227

Fax

(808) 842-0044

NPI assigned

Mar 11, 2022

Organization subpart

No

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

Authorized official

Name

Tristyn Kalama, LMHC, CSAC, CSAPANPI 1073916177

Title

Chief Executive Officer

Phone

(808) 847-4227

Specialties & licenses 1

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

  • Counselor
  • Honolulu, HI
  • NPI 1922408020
  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

  Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1646956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646956800000",
    "number": "1922756642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29819",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968202219",
            "telephone_number": "808-847-4227",
            "fax_number": "808-842-0044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 N NIMITZ HWY RM A226",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968175781",
            "telephone_number": "808-847-4227",
            "fax_number": "808-842-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOKUA SUPPORT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-11",
        "last_updated": "2022-03-11",
        "certification_date": "2022-03-11",
        "status": "A",
        "authorized_official_last_name": "KALAMA",
        "authorized_official_first_name": "TRISTYN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "808-847-4227",
        "authorized_official_credential": "LMHC, CSAC, CSAPA"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 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 (Feed Talk Grow Pediatric Therapy)
• Yoko Kokuni, PH.D
• Kolea Home Care
• Shelby Kolek
• Natalia Kolesnikova, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.