AJA JEANETTE WALLACE (NPI# 1306406228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306406228 |
| Entity Type | Individual |
| Full Name | AJA JEANETTE WALLACE |
| Practice Address |
1485 Linapuni St Honolulu HI 96819-3575 |
| Practice Telephone | 8088464008 |
| Mailing Telephone | 8088464008 |
| Enumeration Date | 2019-06-13 |
| Last Update Date | 2019-06-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346699576 | Aja Wallace | Social Worker | 215 Maple Dr, Lake City, SC 29560-3931 | 2016-06-08 |
| 1073173761 | Aja N Wallace | Counselor | 79 Chestnut St, Lumberton, NJ 08048-1134 | 2019-06-16 |
| Street Address |
1485 LINAPUNI ST |
| City | HONOLULU |
| State | HI |
| Zip Code | 96819-3575 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225201676 | Georgina Mollica | Social Worker | 1485 Linapuni St, Ste 105, Honolulu, HI 96819-3575 | 2008-04-07 |
| 1124419023 | Thanh Anna Nguyen | Marriage & Family Therapist | 1485 Linapuni St, Suite 105, Honolulu, HI 96819-3575 | 2015-02-12 |
| 1639569395 | Kristie Ann Crow | Counselor | 1485 Linapuni St, Honolulu, HI 96819-3575 | 2015-02-02 |
| 1518399336 | Haaheo Mansfield | Social Worker | 1485 Linapuni St, 105, Honolulu, HI 96819-3575 | 2013-08-02 |
| 1063750123 | Valerie Corrine Cadena | Marriage & Family Therapist | 1485 Linapuni St, Suite 105, Honolulu, HI 96819-3575 | 2013-01-24 |
| 1366725608 | Patricia Deenies Souza | Marriage & Family Therapist | 1485 Linapuni St, Suite 105, Honolulu, HI 96819-3575 | 2011-09-22 |
| 1417276239 | Elliott A. Plourde | Social Worker | 1485 Linapuni St, Suite 105, Honolulu, HI 96819-3575 | 2010-05-18 |
| 1447586607 | Loraine Carroll Sawyer | Counselor | 1485 Linapuni St, Rm. 105, Honolulu, HI 96819-3575 | 2009-10-22 |
| 1306179452 | Lanakila Niles | Counselor | 1485 Linapuni St, Suite 105, Honolulu, HI 96819-3575 | 2009-09-08 |
| 1942475009 | Koreen Kalawa Garcia | Counselor | 1485 Linapuni St, Honolulu, HI 96819 | 2008-04-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619507621 | Corrie Sanders | Pharmacist | 450 Patterson Rd, Honolulu, HI 96819 | 2020-01-17 |
| 1245870526 | Ouida Searay Vaillancourt | Dental Hygienist | 339 Mongomery Ave, Honolulu, HI 96819 | 2020-01-14 |
| 1942852660 | Kolea Home Care | In Home Supportive Care | 2229 Kula Kolea Drive, Honolulu, HI 96819 | 2019-07-12 |
| 1164957882 | Kathleen Oliver | Student in an Organized Health Care Education/Training Program | 2229 North School St., Kokua Kalihi Valley Health Center, Honolulu, HI 96819 | 2017-05-01 |
| 1720436058 | Aaron Taniguchi | Physical Therapist | 1740 Ala Aolani St, Honolulu, HI 96819 | 2016-05-26 |
| 1770940892 | Tracy Lynne Khan Fernando | Nurse Practitioner | 2239 N. School St., Kokua Kalihi Valley, Honolulu, HI 96819 | 2016-01-20 |
| 1275961385 | Gavino T. Vinzons M.d, Inc | Family Medicine | 2055 N. King St. Ste 102, Honolulu, HI 96819 | 2013-10-29 |
| 1407195118 | Candace Adeline Schumacher | Licensed Vocational Nurse | 1460 Ala Aolani, Honolulu, HI 96819 | 2013-02-01 |
| 1750629556 | Benjamin L Kilinski | Nurse Practitioner | 1803 Kamehameha Iv Road, Honolulu, HI 96819 | 2013-01-29 |
| 1366701047 | Doreen Anela Oura Ramseyer | Case Manager/Care Coordinator | 1130 N. Nimitz Hwy., C-301, Honolulu, HI 96819 | 2012-05-15 |
| Find all providers in zip 96819 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184225443 | Angela Nalani Mendiola | Counselor | 1440 Kapiolani Blvd Ste 1200, Honolulu, HI 96814-3608 | 2020-11-03 |
| 1104432582 | Charles Rivera | Counselor | 459 Patterson Rd # Mhs-116, Honolulu, HI 96819-1522 | 2020-09-21 |
| 1336755263 | Hawaikikitelehealth LLC | Counselor | 1108 Auwahi Street, 1506, Honolulu, HI 96814 | 2020-09-16 |
| 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 |
| 1659997435 | Noelani Kealii Kidd | Counselor | 875 Waimanu St Ste 601, Honolulu, HI 96813-5267 | 2020-06-17 |
| 1942821657 | Mary Rowan | Counselor | 1189 Waimanu St Apt 1005, Honolulu, HI 96814-4270 | 2020-05-04 |
| 1912527649 | Robert William Holliday Jr. | Counselor | 411 Hobron Ln Apt 1010, Honolulu, HI 96815-1211 | 2020-04-22 |
| 1114547221 | Flordeliza Maura Alonzo Herring | Counselor | 1314 Piikoi St Apt 203, Honolulu, HI 96814-1140 | 2020-04-17 |
| 1821638511 | Tomi Nohealani Moore | Counselor | 875 Waimanu St Ste 620, Honolulu, HI 96813-5267 | 2020-01-09 |
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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.