Elijah Pierick, DR. (D.MIN.)

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MHC-1064-0 Issued in HI

Practice address

91-3525 Kauluakoko St Unit 2002
Ewa Beach, HI 96706-6874

Phone

(808) 258-3235

NPI assigned

Oct 2, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

• Mental Health Specialty Group PA

  • Mental Health Counselor
  • Durham, NC
  • NPI 1801472634

  HI

  Medicare reassignment

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

{
    "created_epoch": "1727827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1992523518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91-3525 KAULUAKOKO ST UNIT 2002",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967066874",
            "telephone_number": "808-258-3235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91-3525 KAULUAKOKO ST UNIT 2002",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967066874",
            "telephone_number": "808-258-3235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERICK",
        "first_name": "ELIJAH",
        "credential": "DR. (D.MIN.)",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-10-02",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "HI",
            "license": "MHC-1064-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kalif C Peter, MSN, AG-ACNP
• Tara Ann Petersen
• Rachel Pfund
• Lindsey Phillips
• Maria Elaine Phillips, RN
• Kami Pihana
• PK Behavior Consulting Inc.
• PK Behavior Consulting Inc.
• Chayntel Pogi
• Aneterica Pola

• Mental Health Counselor in Ewa Beach, HI
• Providers in Ewa Beach, HI by specialty
• Mental Health Counselor in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.