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JOHANNA PARK
NPI 1063853299
Counselor in Hilo, HI

Active since July 16, 2013PECOS EnrolledAccepts Medicare Assignment
399 E KAWILI ST STE 202, HILO, HI 96720(808) 315-1432 Get Directions Write a Review

NPPES record last updated: March 25, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 25, 2020, Dec 28, 2016 (2 updates tracked since 2016).

About Johanna Park NPPES

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

JOHANNA PARK (NPI 1063853299) is an individual counselor in Hilo, Hawaii, licensed in Hawaii (MHC-427) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS, maintains a secondary practice location in Kailua Kona, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1063853299
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameJOHANNA PARK
Location Address399 E KAWILI ST STE 202Hilo, HI 96720-5075
Mailing AddressPo Box 6111Kamuela, HI 96743-6111 · (808) 315-1432
Phone(808) 315-1432
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateJuly 16, 2013
Last NPPES UpdateMarch 25, 20202 updates tracked since enumeration
NPPES CertifiedMarch 25, 2020
✔ NPI 1063853299 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in HI · MHC-427
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.
399 E KAWILI ST STE 202, Hilo, HI 96720
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Secondary Practice Location 1

Location 174-381 Kealakehe Pkwy Ste GKailua Kona, HI 96740-2709 · Phone (808) 315-1432

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HMSA.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Johanna Park is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2062999733
PECOS Enrollment IDI20260123001818
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 3

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

STARTING POINT COUNSELING SERVICES
Community/Behavioral Health
399 E KAWILI ST STE 202
HILO, HI 96720
Hawaii County (808) 989-1101
MELISSA K KANEMITSU LMFT
Marriage & Family Therapist
399 E KAWILI ST STE 202
HILO, HI 96720
Hawaii County (808) 443-1622
MELISSA K KANEMITSU LMFT
Community/Behavioral Health
399 E KAWILI ST STE 202
HILO, HI 96720
Hawaii County (808) 443-1622

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 Johanna Park's NPI number?

The NPI number for Johanna Park is 1063853299. It was assigned to this individual provider in the NPPES registry on July 16, 2013.

Where is Johanna Park located?

Johanna Park practices at 399 E Kawili St Ste 202, Hilo, HI 96720. The listed phone number is (808) 315-1432.

What is Johanna Park's specialty?

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

Is Johanna Park enrolled in Medicare?

Yes. Johanna Park is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Johanna Park accept?

Health plans from HMSA list Johanna Park as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Johanna Park was last updated on March 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.