JUDITH MARIE EKSTROM (NPI# 1629416581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629416581 |
| Entity Type | Individual |
| Full Name | JUDITH MARIE EKSTROM |
| Other Name | JUDITH MARIE SPAIN |
| Credential | LMHC |
| Practice Address |
15-3039 Pahoa Village Rd Pahoa HI 96778-9998 |
| Mailing Address |
Hc 2 Box 6410 Keaau HI 96749-9305 |
| Practice Telephone | 8089874321 |
| Mailing Telephone | 8089874321 |
| Enumeration Date | 2013-06-12 |
| Last Update Date | 2013-06-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
299 | HI | Behavioral Health & Social Service Providers |
| Street Address |
15-3039 PAHOA VILLAGE RD |
| City | PAHOA |
| State | HI |
| Zip Code | 96778-9998 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104173764 | Hawaii Whole Person Healing Collective, LLC | Non-Pharmacy Dispensing Site | 15-3039 Pahoa Village Rd, Pahoa, HI 96778-9677 | 2012-08-13 |
| 1720552631 | Pahoa Counseling LLC | Counselor | 15-3039 Pahoa Village Rd, Pahoa, HI 96778-1104 | 2019-01-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013541846 | Allison Remillard | Behavior Technician | 4610 Cinder Road, Pahoa, HI 96778 | 2020-03-02 |
| 1356971451 | Deidre Temukisa Esteron | Licensed Vocational Nurse | 14-3547 Lehua Rd., Pahoa, HI 96778 | 2020-01-17 |
| 1629623848 | Germelina Ganiron | Registered Nurse | 16-1959 34th Avenue, Pahoa, HI 96778 | 2019-08-05 |
| 1780241414 | Elizabeth Barnett | Massage Therapist | 13-5701 Kalapana-kapoho Rd., Pahoa, HI 96778 | 2019-05-29 |
| 1831661883 | Janelle Mizuguchi | Massage Therapist | 16 2055 Jewel Drive, #81587, Pahoa, HI 96778 | 2018-12-31 |
| 1871063008 | Sylvie Gendron | Massage Therapist | 12-7088 Kaiwihala, Pahoa, HI 96778 | 2018-11-30 |
| 1023587698 | Jarica Barr | Massage Therapist | 15-3039 Pahoa Villiage Rd, Pahoa, HI 96778 | 2018-11-13 |
| 1124595574 | Andrew Vispo | Marriage & Family Therapist | 14 - 803 Seaview Rd, Pahoa, HI 96778 | 2018-10-24 |
| 1154820538 | Kala & Associates, Inc. | Counselor | 15-3039 Pahoa Village Rd., Pahoa, HI 96778 | 2018-02-12 |
| 1407369879 | Sandra Lee Osborne | Counselor | 14-803 Seaview Road, Nanawale Estates, Pahoa, HI 96778 | 2017-11-08 |
| Find all providers in zip 96778 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578161030 | Dawn Marie Blades | Counselor | 15-2822 Popaa St, Pahoa, HI 96778-8557 | 2020-10-15 |
| 1669002457 | Michael Henry Quay | Counselor | 15-639 Puni Mauka Loop N, Pahoa, HI 96778-9550 | 2020-01-21 |
| 1154820538 | Kala & Associates, Inc. | Counselor | 15-3039 Pahoa Village Rd., Pahoa, HI 96778 | 2018-02-12 |
| 1770959207 | Gwen L Keliihoomalu | Counselor | 15-2885 Pahoa Main Street, Pahoa, HI 96778 | 2015-08-19 |
| 1013325141 | Dorian Kuupua Lovell | Counselor | 16-2094 Lehua Dr, Pahoa, HI 96778-7745 | 2014-08-01 |
| 1811323074 | Kathryn M Ayoob | Counselor | 13-3482 Hookupu St, Pahoa, HI 96778-8410 | 2013-09-19 |
| 1720235583 | Jennifer Fitzgerald | Counselor | Rr 3 Box 1322, Pahoa, HI 96778-7520 | 2008-08-24 |
| 1255483251 | Caroline S Delano | Counselor | Rr 2 Box 4792, 12-7247 Moana Kai Pali St., Pahoa, HI 96778-9779 | 2007-01-18 |
| 1720552631 | Pahoa Counseling LLC | Counselor | 15-3039 Pahoa Village Rd, Pahoa, HI 96778-1104 | 2019-01-14 |
| 1447407937 | Michelle Diane Starosky | Counselor | 14-803 Seaview Rd, Pahoa, HI 96778 | 2008-08-26 |
| Find all providers in PAHOA | ||||
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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.