SELENE MERSEREAU (NPI# 1679852966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679852966 |
| Entity Type | Individual |
| Full Name | SELENE MERSEREAU |
| Practice Address |
970 N Kalaheo Ave A310b Kailua HI 96734-1866 |
| Practice Telephone | 8087823110 |
| Practice Fax Number | 8082630207 |
| Mailing Telephone | 8087823110 |
| Mailing Fax Number | 8082630207 |
| Enumeration Date | 2011-08-04 |
| Last Update Date | 2011-08-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 263 | HI | Behavioral Health & Social Service Providers |
| Street Address |
970 N KALAHEO AVE A310B |
| City | KAILUA |
| State | HI |
| Zip Code | 96734-1866 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730188715 | Dean M Nelson | Chiropractor | 970 N Kalaheo Ave, Kailua, HI 96734-1866 | 2005-07-20 |
| 1922504562 | Sara Metropol Shuler | Dentist | 970 N Kalaheo Ave, Kailua, HI 96734-1866 | 2018-04-03 |
| 1750899019 | Tracy M Araujo | Marriage & Family Therapist | 970 N Kalaheo Ave, Kailua, HI 96734-1866 | 2018-01-19 |
| 1669991634 | Sarah Allison Dewhitt | Speech-Language Pathologist | 970 N Kalaheo Ave, Kailua, HI 96734-1866 | 2017-09-11 |
| 1023558475 | Sarah Schick | Social Worker | 970 N Kalaheo Ave, Kailua, HI 96734-1866 | 2017-03-06 |
| 1801334776 | Kristi Kobayashi | Social Worker | 970 N Kalaheo Ave, A203, Kailua, HI 96734-1866 | 2017-02-10 |
| 1205372745 | Darin Gould Md LLC | Psychiatry & Neurology | 970 N Kalaheo Ave, Kailua, HI 96734-1866 | 2017-01-09 |
| 1376088773 | Kukui Na Kupuna, LLC | In Home Supportive Care | 970 N Kalaheo Ave, Suite C-200, Kailua, HI 96734-1866 | 2016-12-21 |
| 1083158026 | Liberty Ann Crane | Physical Therapy Assistant | 970 N Kalaheo Ave, C-316, Kailua, HI 96734-1866 | 2016-12-09 |
| 1669831913 | Hawaii Metabolic Management, LLC | Internal Medicine | 970 N Kalaheo Ave, Suite C-316, Kailua, HI 96734-1866 | 2016-02-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144828773 | About Face Kailua, LLC | General Practice | 970 N. Kalahea Ave, Suite A-11, Kailua, HI 96734 | 2020-10-15 |
| 1134726979 | Sara Eller | Radiology | Building 6905 Mcbh, Pearl Harbor, HI 96734 | 2020-10-05 |
| 1205441888 | William Andrew Fitzpatrick | Military Health Care Provider | Bldg 6905, Mcbh, HI 96734 | 2020-09-10 |
| 1215549670 | Joseph Frabotta | Military Health Care Provider | 6894r Mokapu Rd, Kailua, HI 96734 | 2020-08-18 |
| 1437776366 | Amanda Lindsay Krasniewski | Behavior Technician | 203 Kapaa Quarry Place, Suite #5002, Kailua, HI 96734 | 2020-06-26 |
| 1760007108 | Yoli Gabrielle Teran | Behavior Technician | 203 Kapaa Quarry Pi #5002, Kailua, HI 96734 | 2020-06-11 |
| 1902427206 | Amberlie Remily | Behavior Technician | 203 Kapaa Quarry Pl. #5002, Kailua, HI 96734 | 2020-04-28 |
| 1417586264 | Jennifer Eng | Marriage & Family Therapist | 6842 Harris Ave, Kailua, HI 96734 | 2020-04-03 |
| 1023644523 | Roxan Mae Sardido Okamoto | Specialist | 1178 Lunahana Place, Kailua, HI 96734 | 2020-03-16 |
| 1811520240 | Sherly Macion | Registered Nurse | 720 A1 Kihapai Place, Kailua, HI 96734 | 2020-02-13 |
| Find all providers in zip 96734 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417586264 | Jennifer Eng | Marriage & Family Therapist | 6842 Harris Ave, Kailua, HI 96734 | 2020-04-03 |
| 1578008520 | Temple Valley Mindful Wellness LLC | Marriage & Family Therapist | 1005 Keolu Dr, Kailua, HI 96734-3873 | 2016-12-30 |
| 1114469541 | Sandra Michelle Evan | Marriage & Family Therapist | 1015 Aoloa Pl Apt 205, Kailua, HI 96734-5203 | 2016-11-16 |
| 1184086399 | Hope and Healing LLC | Marriage & Family Therapist | 330 Uluniu St, Suite D, Kailua, HI 96734-2515 | 2016-03-26 |
| 1386002921 | Krista Harper | Marriage & Family Therapist | 70 Lorange Pl, Kailua, HI 96734-1983 | 2016-02-09 |
| 1518389816 | Steven Phillip Katz | Marriage & Family Therapist | 152 N Kalaheo Ave, Apt F, Kailua, HI 96734-2344 | 2014-01-06 |
| 1811320377 | Oasis for Change | Marriage & Family Therapist | 970 N Kalaheo Ave Ste A212, Kailua, HI 96734-1857 | 2013-08-19 |
| 1902145345 | Jasmine Nicole Lindhe | Marriage & Family Therapist | 1233 Akamai St, Kailua, HI 96734-4036 | 2013-02-05 |
| 1023313046 | Mary Greaney | Marriage & Family Therapist | 970 N Kalaheo Ave Ste A204, Kailua, HI 96734-1869 | 2011-01-22 |
| 1649455395 | Karen Janecek | Marriage & Family Therapist | 235 Kakahiaka St, Kailua, HI 96734-3461 | 2007-12-31 |
| Find all providers in KAILUA | ||||
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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.