KIPUKA COUNSELING AND CONSULTING, LLC (NPI# 1154824407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154824407 |
| Entity Type | Organization |
| Organization Name | KIPUKA COUNSELING AND CONSULTING, LLC |
| Practice Address |
15-1463 Awa Ave Keaau HI 96749 |
| Mailing Address |
Po Box 1721 Keaau HI 96749-1721 |
| Practice Telephone | 8089384393 |
| Mailing Telephone | 8089384393 |
| Enumeration Date | 2018-03-13 |
| Last Update Date | 2018-05-31 |
| Authorized Official Name | LYNNE ROSE MOLLO (PSYCHOTHERAPIST/OWNER) |
| Authorized Official Telephone | 8089384393 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 224 Kamehameha Ave Ste 205, Hilo, HI 967202860 | 8089384393 |
| Street Address |
15-1463 AWA AVE |
| City | KEAAU |
| State | HI |
| Zip Code | 96749 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194326959 | Presence of Mind Inc | Counselor | 15-1942 7th Ave., Keaau, HI 96749 | 2020-11-06 |
| 1700498102 | Thomas Gerard Camenzind | Massage Therapist | 16-426 Brookover Street, Keaau, HI 96749 | 2020-08-18 |
| 1225674542 | Jennifer Archer | Behavior Technician | 16-556 Kea'au Pahoa Rd, 188-111, Kea'au, HI 96749 | 2019-11-21 |
| 1124672712 | Jill Jenkins | Registered Nurse | 15-1680 9th Ave, Keaau, HI 96749 | 2019-07-31 |
| 1467004135 | Evelyn Ramelb | Nursing Home Administrator | 16-1508 35th Ave, Keaau, HI 96749 | 2019-07-12 |
| 1326690157 | Samuel Robert Teare IIi | Behavior Technician | 16-359 Kehaulani St, Keaau, HI 96749 | 2019-07-11 |
| 1942869599 | Tisha Takazawa | Community Health Worker | 16-204 Melekahiwa Place, Suite 3, Keaau, HI 96749 | 2019-06-07 |
| 1598272536 | Alexander Stitt | Counselor | 15-1963 4th Ave., Keaau, HI 96749 | 2017-12-29 |
| 1164937223 | Rachael Lorraine Hasner | Registered Nurse | 15-1488 Lokelani Ave, Keaau, HI 96749 | 2017-12-11 |
| 1194230730 | Rebekah Robin Bernard | Counselor | 15-1679 19th Avenue, Keaau, HI 96749 | 2017-12-05 |
| Find all providers in zip 96749 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649744921 | Big Island Behavior Interventions | Community/Behavioral Health | 16-566 Keaau Pahoa Rd Ste 188-111, Keaau, HI 96749-8137 | 2019-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710596655 | Ho'ola Na Pua | Community/Behavioral Health | 58-130 Kamehameha Hwy, Haleiwa, HI 96712-9714 | 2020-07-27 |
| 1861000119 | Myra H Shindo | Community/Behavioral Health | 134 Walker Ave, Wahiawa, HI 96786-1817 | 2020-07-22 |
| 1922616549 | Child and Family Service | Community/Behavioral Health | 95-1091 Ainamakua Dr, Mililani, HI 96789-4252 | 2020-07-20 |
| 1114571973 | House of Blessings | Community/Behavioral Health | 148 Lakeview Cir, Wahiawa, HI 96786-1531 | 2019-07-30 |
| 1558927194 | Team Care Clinical Services, LLC | Community/Behavioral Health | 66-434 Kamehameha Hwy Ste B, Haleiwa, HI 96712 | 2019-05-17 |
| 1528523248 | Pamela Matsuda Friar Lcsw, Inc. | Community/Behavioral Health | 25 Kaneohe Bay Dr Ste 204, Kailua, HI 96734-1734 | 2019-02-06 |
| 1790251940 | Anelalani K. M. Raposas | Community/Behavioral Health | 85-888 Farrington Hwy Ste 207, Waianae, HI 96792-2403 | 2018-10-15 |
| 1841794807 | Ke Alaula, Inc. | Community/Behavioral Health | 101 Aupuni St Ste 213, Hilo, HI 96720-4221 | 2018-03-22 |
| 1245731173 | Bayada Home Care | Community/Behavioral Health | 1001 Kamokila Blvd Ste 206, Kapolei, HI 96707-2096 | 2018-02-26 |
| 1275048803 | Marianne Jones, Lcsw | Community/Behavioral Health | 87-3180 Guava Rd, Captain Cook, HI 96704-8727 | 2017-12-05 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.