Active NPI
Illuminata Counseling
- Marriage & Family Therapist
- Kahului, HI
National Provider Identifier
1982258026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Legal business name
- ILLUMINATA COUNSELING
- Practice address
- 135 S Wakea Ave Ste 208
Kahului, HI 96732-1385 - Phone
- (808) 871-2830
- NPI assigned
- Jul 26, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Debbie Spates, LMFT
- Title
- Licensed Marriage & Family Therapis
- Phone
- (808) 871-2830
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | Primary |
Addresses
Primary practice location
135 S Wakea Ave Ste 208
Kahului, HI 96732-1385
Mailing address
65 Halili LN Apt 10
Kihei, HI 96753-6079
Phone (808) 280-4402
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240223003036 | HI | Part B Supplier - Clinic/Group Practice | 9931544459 |
Receives reassigned benefits from 1 practitioner Practice locations: Kahului, HI |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Marriage & Family Therapist
- Kahului, HI
- NPI 1578804126
HI, Marriage & Family Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564099200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1710374400000",
"number": "1982258026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "65 HALILI LN APT 10",
"city": "KIHEI",
"state": "HI",
"postal_code": "967536079",
"telephone_number": "808-280-4402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 S WAKEA AVE STE 208",
"city": "KAHULUI",
"state": "HI",
"postal_code": "967321385",
"telephone_number": "808-871-2830"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ILLUMINATA COUNSELING",
"organizational_subpart": "NO",
"enumeration_date": "2019-07-26",
"last_updated": "2024-03-14",
"certification_date": "2024-03-05",
"status": "A",
"authorized_official_last_name": "SPATES",
"authorized_official_first_name": "DEBBIE",
"authorized_official_title_or_position": "LICENSED MARRIAGE & FAMILY THERAPIS",
"authorized_official_telephone_number": "808-871-2830",
"authorized_official_credential": "LMFT"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kahului, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.