NPIMap

Organization Active NPI

Kokua Mental Health and Wellness LLC

  • Mental Health Counselor
  • Honolulu, HI
National Provider Identifier
1992468649
Registry record updated Aug 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
KOKUA MENTAL HEALTH AND WELLNESS LLC
Practice address
1188 Bishop St Ste 1411
Honolulu, HI 96813-3306
Phone
(808) 501-0501
Fax
(808) 470-6202
NPI assigned
Oct 20, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2022

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

Authorized official

Name
Mr. Gino Bon Titus-Luciano, LMHC, NCC, QMHPNPI 1366055584
Title
President & Ceo
Phone
(808) 204-5691

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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

1188 Bishop St Ste 1411
Honolulu, HI 96813-3306

Mailing address

1188 Bishop St Ste 1411
Honolulu, HI 96813-3306
Phone (808) 501-0501

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL simplepractice.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

1188 Bishop St
Ste 1411
Honolulu, HI 96813
Phone (808) 501-0501

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1634688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659398400000",
    "number": "1992468649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1188 BISHOP ST STE 1411",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968133306",
            "telephone_number": "808-501-0501",
            "fax_number": "808-470-6202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1188 BISHOP ST STE 1411",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968133306",
            "telephone_number": "808-501-0501",
            "fax_number": "808-470-6202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOKUA MENTAL HEALTH AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-20",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A",
        "authorized_official_last_name": "TITUS-LUCIANO",
        "authorized_official_first_name": "GINO",
        "authorized_official_middle_name": "BON",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "808-204-5691",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMHC, NCC, QMHP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "simplepractice.com",
            "affiliation": "N",
            "endpointDescription": "Electronic Health Record System",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EHS",
            "address_1": "1188 Bishop St Ste 1411",
            "city": "Honolulu",
            "state": "HI",
            "country_code": "US",
            "postal_code": "968133306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.