Tina Ann Boteilho, LMFT
Individual provider Active NPI Marriage & Family Therapist · Wailuku, HI
NPI 1932425386 · NPPES record last updated Jul 11, 2025
Key facts
- NPI
- 1932425386
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 388 (HI)
- Practice address
- 1787 Wili PA Loop
Suite 7
Wailuku, HI 96793-1280 - Phone
- (808) 249-2121
- NPI assigned
- Apr 9, 2010
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Marriage and Family Therapist
- Education
- Other, 2006
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Makawao, HI 96768
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in HI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251203001561 | HI | Practitioner - Marriage and Family Therapist | 8628561198 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 388 | HI | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aloha House, Inc. | Current |
Accepting new 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 | Current |
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 388 | HI | Yes |
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
Other providers in Wailuku, HI
- Donna Blancas
- John Patrick Blazek
- Jacqueline B Blumer
- Susan Ina Bohannon
- Heather Boldt
- Annette Boulgourjian
- Sue Bourgeoishunt
- Sally M Bowles
- Daniel Brandes
- Kim Kimi Breitbach
All providers in Wailuku, HI · Marriage & Family Therapist in Hawaii
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.