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KOKUA SUPPORT SERVICES NPI 1922408020


NPI Information

NPI: 1922408020
Provider Name: KOKUA SUPPORT SERVICES
Classification: Counselor - 101Y00000X
Entity Type: Organization
Address:
1803 N KING ST
HONOLULU, HI
ZIP 96819
Phone: (808) 847-4227
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KOKUA SUPPORT SERVICES is a counselor in Honolulu, HI. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. KOKUA SUPPORT SERVICES NPI is 1922408020. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1803 N KING ST
HONOLULU, HI
ZIP 96819-451
Phone: (808) 847-4227
Fax: (808) 842-0044

The provider's authorized official is Tristyn Haxton .
The authorized official title is President and has the following contact phone number (808) 847-5777.

The enumeration date for this NPI number is 8/26/2014 and was last updated on 10/2/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)10694948HAWAIINo
2101YM0800XCounselorMental Health10694948HAWAIINo
3101YP1600XCounselorPastoral10694948HAWAIINo
4101YP2500XCounselorProfessional10694948HAWAIINo
5103K00000XBehavior Analyst10694948HAWAIINo
6251S00000XCommunity/Behavioral Health10694948HAWAIINo
7252Y00000XEarly Intervention Provider Agency10694948HAWAIINo
8101Y00000XCounselor10694948HAWAIIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1=========OTHERHAWAIIALL INSURANCE
2=========MEDICARE OSCAR/CERTIFICATIONHAWAII
3=========MEDICARE PINHAWAII
4=========MEDICAIDHAWAII

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.