Individual provider Active NPI

Tina Ann Boteilho, LMFT

  • Marriage & Family Therapist
  • Wailuku, HI
National Provider Identifier
1932425386
Registry record updated Jul 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
388 Issued in HI
Practice address
1787 Wili PA Loop
Suite 7
Wailuku, HI 96793-1280
Phone
(808) 249-2121
NPI assigned
Apr 9, 2010
Last updated
Jul 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 388 HI Primary

Addresses

Primary practice location

1787 Wili PA Loop
Suite 7
Wailuku, HI 96793-1280

Mailing address

1787 Wili PA Loop
Suite 7
Wailuku, HI 96793-1280
Phone (808) 249-2121

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
I20251203001561 HI Practitioner - Marriage and Family Therapist 8628561198 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2006
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Makawao, HI 96768

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
388HIMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tmeoai Inc Marriage & Family Therapist Current Accepting new patients
Ahupuaa Counseling Services LLC Marriage & Family Therapist Current Accepting new patients
Pacific Counseling Group, LLC CurrentSince Nov 1, 2025 Accepting new patients
Aloha House, Inc. CurrentSince Nov 1, 2025 Accepting new patients

Locations

1787 Wili Pa Loop
Ste 7
Wailuku, HI 96793
Phone (808) 249-2121

270 Hookahi St
Ste 212
Wailuku, HI 96793
Phone (808) 249-2213

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1270771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752192000000",
    "number": "1932425386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1787 WILI PA LOOP",
            "address_2": "SUITE 7",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967931280",
            "telephone_number": "808-249-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1787 WILI PA LOOP",
            "address_2": "SUITE 7",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967931280",
            "telephone_number": "808-249-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTEILHO",
        "first_name": "TINA",
        "middle_name": "ANN",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-09",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "HI",
            "license": "388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wailuku, HI

Sources for this page

Verify at the official NPI Registry.