KELLY K CHAN
NPI 1063292928
Counselor in Ewa Beach, HI

Active since September 29, 2023
91-2128 OLD FT WEAVER RD, EWA BEACH, HI 96706(808) 589-1829(808) 589-2610 Get Directions Write a Review

NPPES record last updated: September 29, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly K Chan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY K CHAN (NPI 1063292928) is an individual counselor in Ewa Beach, Hawaii and active in the NPI registry since September 2023.

NPPES Registry Identity

NPI1063292928
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameKELLY K CHAN
Location Address91-2128 OLD FT WEAVER RDEwa Beach, HI 96706-1911
Mailing Address91-2128 Old Ft Weaver RdEwa Beach, HI 96706-1911
Fax(808) 589-2610
Sole ProprietorNo
Enumeration DateSeptember 29, 2023
NPPES CertifiedSeptember 29, 2023
NPI 1063292928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
91-2128 OLD FT WEAVER RD, Ewa Beach, HI 96706

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
91-2128 OLD FT WEAVER RD
EWA BEACH, HI 96706
Counselor
91-2128 OLD FT WEAVER RD
EWA BEACH, HI 96706
Counselor
91-2128 OLD FT WEAVER RD
EWA BEACH, HI 96706
Counselor (Mental Health)
91-2128 OLD FT WEAVER RD
EWA BEACH, HI 96706
Marriage & Family Therapist
91-2128 OLD FT WEAVER RD
EWA BEACH, HI 96706
Counselor
91-2128 OLD FT WEAVER RD
EWA BEACH, HI 96706
Counselor (Mental Health)
91-2128 OLD FT WEAVER RD
EWA BEACH, HI 96706
Residential Treatment Facility, Emotionally Disturbed Children
91-2128 OLD FT WEAVER RD
EWA BEACH, HI 96706

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Chan's NPI number?

The NPI number for Kelly Chan is 1063292928. It was assigned to this individual provider in the NPPES registry on September 29, 2023.

Where is Kelly Chan located?

Kelly Chan practices at 91-2128 Old Ft Weaver Rd, Ewa Beach, HI 96706. The listed phone number is (808) 589-1829.

What is Kelly Chan's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Kelly Chan was last updated on September 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.