Angela Martinez Johnson
Individual provider Active NPI Professional Counselor · Holualoa, HI
NPI 1972803294 · NPPES record last updated Jan 19, 2023
Key facts
- NPI
- 1972803294
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- MHC507 (HI)
- Practice address
- 74-4997 Mamalahoa Hwy
Holualoa, HI 96725-9605 - Phone
- (808) 798-1373
- NPI assigned
- Nov 2, 2010
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MHC507 | HI | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MHC507 | HI | |
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor | 101YP2500X | MHC507 | HI | Yes |
Addresses
Primary practice location
74-4997 Mamalahoa Hwy
Holualoa, HI 96725-9605
Mailing address
74-4997 Mamalahoa Hwy
Holualoa, HI 96725-9605
Phone (808) 798-1373
Other practice location 1
875 Waimanu St Ste 614
Honolulu, HI 96813-5267
Phone (808) 791-6713
Other providers in Holualoa, HI
- Sharareh Firouzbakht
- Angela K Gomes
- Sarah Gschweng
- Hawaii Longevity and Regenerative Medicine LLC
- Melissa Yon Jenkins
- Judy A Johnson
- Kai McBride LMFT
- Joseph Kassel
- Payton Kim
- Kenneth Ray Kirchner
All providers in Holualoa, HI · Professional Counselor in Hawaii
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 19, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.