Intentional Life Counseling Llc - Medicare Mental Health Clinic in Honolulu, HI

Intentional Life Counseling Llc is a medicare enrolled mental health clinic (Social Worker - Clinical) in Honolulu, Hawaii. The current practice location for Intentional Life Counseling Llc is 1296 Kapiolani Blvd Apt 604, Honolulu, Hawaii. For appointments, you can reach them via phone at (808) 348-4789. The mailing address for Intentional Life Counseling Llc is Po Box 235151, Honolulu, Hawaii and phone number is (808) 800-1264.

Intentional Life Counseling Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1033819685. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (808) 348-4789.

Contact Information

Intentional Life Counseling Llc
1296 Kapiolani Blvd Apt 604
Honolulu
HI 96814-2878
(808) 348-4789
Not Available

Mental Health Clinic Profile

Full NameIntentional Life Counseling Llc
SpecialitySocial Worker
Location1296 Kapiolani Blvd Apt 604, Honolulu, Hawaii
Authorized Official Name and PositionMina N/a Casey-pang (LICENSED CLINICAL SOCIAL WORKER)
Authorized Official Contact8083484789
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Intentional Life Counseling Llc
Po Box 235151
Honolulu
HI 96823-3502

Ph: (808) 800-1264
Intentional Life Counseling Llc
1296 Kapiolani Blvd Apt 604
Honolulu
HI 96814-2878

Ph: (808) 348-4789

NPI Details:

NPI Number1033819685
Provider Enumeration Date03/02/2023
Last Update Date07/28/2023
Certification Date07/28/2023

Medicare PECOS Information:

Medicare PECOS PAC ID0143680850
Medicare Enrollment IDO20230713000333

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› Verified 7 days ago

Medical Identifiers

Medical identifiers for Intentional Life Counseling Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033819685NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Intentional Life Counseling Llc acts as a billing entity for following providers:
Provider NameMina Casey-pang
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1831770221
PECOS PAC ID: 6305206012
Enrollment ID: I20230804001757

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› Verified 7 days ago

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› Verified 7 days ago

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