NORTH SHORE COLLABORATIVE THERAPY
NPI 1194367979
Psychologist - Clinical in Waialua, HI
About North Shore Collaborative Therapy NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NORTH SHORE COLLABORATIVE THERAPY (NPI 1194367979) is a healthcare organization registered as a clinical in Waialua, Hawaii and active in the NPI registry since October 2019. The organization lists June Hurst-jones, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
North Shore Collaborative Therapy is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to North Shore Collaborative Therapy, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 North Shore Collaborative Therapy's NPI number?
The NPI number for North Shore Collaborative Therapy is 1194367979. It was assigned to this organization in the NPPES registry on October 12, 2019.
Where is North Shore Collaborative Therapy located?
North Shore Collaborative Therapy is located at 66-892 Wanini St, Waialua, HI 96791. The listed phone number is (808) 457-1311.
What is North Shore Collaborative Therapy's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is North Shore Collaborative Therapy enrolled in Medicare?
Yes. North Shore Collaborative Therapy is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through North Shore Collaborative Therapy?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to North Shore Collaborative Therapy. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for North Shore Collaborative Therapy was last updated on October 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# North Shore Collaborative Therapy · NPI 1194367979
Clinical organization in Waialua, Hawaii. Organization record, active in the CMS NPPES registry since October 12, 2019.
## Identity
- **NPI:** 1194367979 (Entity type: Organization)
- **Enumerated:** October 12, 2019
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **Organization subpart:** No
- **Authorized official:** June Hurst-Jones, OWNER
## Practice location
- **Address:** 66-892 WANINI ST, Waialua, HI 96791-9758
- **Phone:** (808) 457-1311 · **Fax:** (808) 457-1311
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Clinical Psychologist) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 16, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1194367979) · Data from the CMS NPPES public registry.