KIMBERLY DOLAN (NPI# 1255794517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255794517 |
| Entity Type | Individual |
| Full Name | KIMBERLY DOLAN |
| Credential | LMHC, LAC, NCC |
| Practice Address |
1043 Makawao Ave Ste 209b Makawao HI 96768 |
| Mailing Address |
1043 Makawao Ave Ste 209b Makawao HI 96768-9468 |
| Practice Telephone | 8083793766 |
| Practice Fax Number | 8083793766 |
| Mailing Telephone | 8083793766 |
| Mailing Fax Number | 8083793766 |
| Enumeration Date | 2016-04-03 |
| Last Update Date | 2018-07-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
MHC-512 | HI | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
37AC00303600 | NJ | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | BODHI WELLNESS AND PSYCHOTHERAPY | 1649798125 | 01 |
| HI | BODHI WELLNESS AND PSYCHOTHERAPY | 1760990014 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 615 Hope Rd, Eatontown, NJ 077241277 | 7323980697 | |
| 34 Banyan Blvd, Holmdel, NJ 077332777 | 7324551450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023549383 | Kimberly Dawn Dolan | Counselor | 740 N Hillside Ave, Republic, MO 65738-1143 | 2017-03-27 |
| Street Address |
1043 MAKAWAO AVE STE 209B |
| City | MAKAWAO |
| State | HI |
| Zip Code | 96768 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760990014 | Bodhi Wellness and Psychotherapy LLC | Counselor | 1043 Makawao Ave Ste 209b, Makawao, HI 96768 | 2018-01-19 |
| 1255867305 | David J Dolan | Counselor | 1043 Makawao Ave Ste 209b, Makawao, HI 96768 | 2017-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669016853 | Jennifer Marie Slaughter | Social Worker | 1931 Baldwin Ave., Makawao, HI 96768 | 2019-10-31 |
| 1265083018 | Jacob Joseph Wardach | Nurse Practitioner | 81 Makawao Ave #100, Makawao, HI 96768 | 2019-09-24 |
| 1629570908 | Darran Kim | Optometrist | 24 Kiopa'a Street #102, Pukalani, HI 96768 | 2018-03-02 |
| 1487196226 | On The Path Counseling, LLC | Marriage & Family Therapist | 21 B Kealaloa Ave, Makawao, HI 96768 | 2016-11-10 |
| 1023406238 | Sarah Chin Kasai | Optometrist | 8 Kiopaa Street, #102, Makawao, HI 96768 | 2014-12-23 |
| 1407251192 | Vida Rose Yap | Counselor | 1931 Baldwin Avenue, Makawao, HI 96768 | 2014-10-24 |
| 1477965911 | Karen Molina | Massage Therapist | 714a Pelenaka Pl., Makawao, HI 96768 | 2014-06-02 |
| 1023364213 | Adrianna Marie Flavin | Psychologist | 7 Aewa Place, Unit 7-a, Pukalani, HI 96768 | 2012-07-25 |
| 1184982514 | Nina Vishnevska | Psychiatry & Neurology | 1 Kahakapao Rd., Makewao, HI 96768 | 2012-04-23 |
| 1538451174 | Shelagh Jane Lampshire | Massage Therapist | 1043 Makawao Ave., Ste, 207, Makawao, HI 96768 | 2011-05-13 |
| Find all providers in zip 96768 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952786287 | Samantha Kessler | Counselor | 7 Aewa Pl Ste 8, Makawao, HI 96768-8882 | 2015-07-28 |
| 1720405756 | Kathryn Wilmet | Counselor | 98 Kapuahi St, Makawao, HI 96768-8003 | 2014-03-27 |
| 1902057771 | Marie Perricelli Lopes | Counselor | 385 Aliiolani St, Makawao, HI 96768-8313 | 2008-10-09 |
| 1629229828 | Sherry J Fisher | Counselor | 135 Piimauna St, Makawao, HI 96768-8869 | 2008-10-06 |
| 1154820066 | Robyn Goodblatt | Counselor | 3620 Baldwin Ave Ste 107, Makawao, HI 96768-9500 | 2018-02-06 |
| 1386161974 | Audrey Marie Fraychineaud | Counselor | 200 Ike Dr, Makawao, HI 96768-9718 | 2017-08-24 |
| 1013447945 | Lehualani Center | Counselor | 1135 Makawao Ave Ste 102, Makawao, HI 96768-7401 | 2017-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194326959 | Presence of Mind Inc | Counselor | 15-1942 7th Ave., Keaau, HI 96749 | 2020-11-06 |
| 1184225443 | Angela Nalani Mendiola | Counselor | 1440 Kapiolani Blvd Ste 1200, Honolulu, HI 96814-3608 | 2020-11-03 |
| 1578161030 | Dawn Marie Blades | Counselor | 15-2822 Popaa St, Pahoa, HI 96778-8557 | 2020-10-15 |
| 1114524725 | Aubrey Mei-ling Lokelani Jenks | Counselor | 94-543 Hiahia Loop, Waipahu, HI 96797-3813 | 2020-10-06 |
| 1104432582 | Charles Rivera | Counselor | 459 Patterson Rd # Mhs-116, Honolulu, HI 96819-1522 | 2020-09-21 |
| 1184230807 | Iane Dantas Franca | Counselor | 1045 Kilauea Avenue, Hilo, HI 96720 | 2020-09-17 |
| 1336755263 | Hawaikikitelehealth LLC | Counselor | 1108 Auwahi Street, 1506, Honolulu, HI 96814 | 2020-09-16 |
| 1104430123 | Antoinette Kaleiwohiokalani Whittington | Counselor | 41-1452 Laukalo St, Waimanalo, HI 96795-1282 | 2020-09-08 |
| 1295346252 | Ana Malia Kia | Counselor | 2140 10th Ave Apt 303, Honolulu, HI 96816-3044 | 2020-08-13 |
| 1902416498 | Jason Tomoyasu Hew | Counselor | 1305 Lunalilo Home Rd, Honolulu, HI 96825-3215 | 2020-08-09 |
| 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.