JOHANNA PARK
NPI 1093252124
Community/Behavioral Health in Hilo, HI

Active since January 27, 2017
120 KEAWE ST STE 203B, SUITE 202, HILO, HI 96720(808) 315-1432 Get Directions Write a Review

NPPES record last updated: December 17, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 17, 2025, Jan 27, 2017 (2 updates tracked since 2017).

About Johanna Park NPPES

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

JOHANNA PARK (NPI 1093252124) is a healthcare organization registered as a community/behavioral health in Hilo, Hawaii and active in the NPI registry since January 2017. The organization lists Johanna Lynn Park, Owner, as its authorized official.

NPPES Registry Identity

NPI1093252124
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameJOHANNA PARK
Location Address120 KEAWE ST STE 203B, SUITE 202Hilo, HI 96720-2874
Mailing Address16-566 Keaau Pahoa Rd Ste 188-367Keaau, HI 96749-8137 · (808) 315-1432
Organization SubpartNo
Authorized OfficialJohanna Lynn ParkOwner · (808) 315-1432
Enumeration DateJanuary 27, 2017
Last NPPES UpdateDecember 17, 20252 updates tracked since enumeration
NPPES CertifiedDecember 17, 2025
NPI 1093252124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License Licensed in HI · LMHC 427
Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

120 KEAWE ST STE 203B, Hilo, HI 96720

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 1093252124. It was assigned to this organization in the NPPES registry on January 27, 2017.

Where is Johanna Park located?

Johanna Park is located at 120 Keawe St Ste 203B Suite 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 Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Johanna Park was last updated on December 17, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.