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

Q: 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.

Q: What is Johanna Park's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Q: When was this NPI record last updated?

The NPPES record for Johanna Park was last updated on December 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.

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: August 16, 2026.

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

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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

Phone(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

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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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.