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TASHA KAHOALII
NPI 1548920861
Social Worker - Clinical in Mckinleyville, CA

Active since December 28, 2021PECOS EnrolledAccepts Medicare Assignment
1560 BETTY CT STE A, MCKINLEYVILLE, CA 95519(707) 839-1933 Get Directions Write a Review

NPPES record last updated: July 31, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 4, 2024, Dec 28, 2021 (2 updates tracked since 2021).

About Tasha Kahoalii NPPES

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

TASHA KAHOALII (NPI 1548920861) is an individual clinical provider in Mckinleyville, California, licensed in California (126290) and active in the NPI registry since December 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1548920861
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameTASHA KAHOALII
Location Address1560 BETTY CT STE AMckinleyville, CA 95519-4178
Mailing Address1560 Betty Ct Ste AMckinleyville, CA 95519-4178 · (707) 839-1933
Phone(707) 839-1933
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateDecember 28, 2021
Last NPPES UpdateJuly 31, 20252 updates tracked since enumeration
NPPES CertifiedJuly 31, 2025
✔ NPI 1548920861 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · 126290
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1560 BETTY CT STE A, Mckinleyville, CA 95519
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tasha Kahoalii 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 ID8921581398
PECOS Enrollment IDI20260313000973
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.

Medicare Billing Reassignment

Medicare enrollment records show Tasha Kahoalii reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Open Door Community Health Centers
0.2 mi
Federally Qualified Health Center (FQHC)
1644 CENTRAL AVENUE, SUITE F
Mckinleyville, CA 95519
  • Reassigned Medicare billing, California enrollment
  • 175 clinicians in this Medicare group
NPI 1598858169 (707) 839-3068

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95519 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $58.87 – $176.60
Typical copayment $0.00 (range $14.71 – $44.15)
Most-billed visit code NA
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MISS KAREN JEAN SANTOS LCSW
Social Worker (Clinical)
1560 BETTY CT STE A
MCKINLEYVILLE, CA 95519
Humboldt County (707) 839-1933
MRS. YVONNE LYNN FERRIS AII3071214
Counselor (Addiction (Substance Use Disorder))
1560 BETTY CT STE A
MCKINLEYVILLE, CA 95519
Humboldt County (707) 839-1933
JASMINE RENEE PEDROZA LCSW
Counselor
1560 BETTY CT STE A
MCKINLEYVILLE, CA 95519
Humboldt County (707) 839-1933
LIVEY DANIELA AMPUDIA
Marriage & Family Therapist
1560 BETTY CT STE A
MCKINLEYVILLE, CA 95519
Humboldt County (707) 839-1933
BLAIR KREUZER
Counselor
1560 BETTY CT STE A
MCKINLEYVILLE, CA 95519
Humboldt County (707) 839-1933
KELLIE CHARLINE MCGLATHERY
Case Manager/Care Coordinator
1560 BETTY CT STE A
MCKINLEYVILLE, CA 95519
Humboldt County (707) 498-5062
KIMBERLY IRENE BROWN
Case Manager/Care Coordinator
1560 BETTY CT STE A
MCKINLEYVILLE, CA 95519
Humboldt County (707) 839-1933
MELITTA JACKSON
Case Manager/Care Coordinator
1560 BETTY CT STE A
MCKINLEYVILLE, CA 95519
Humboldt County (707) 839-1933

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 Tasha Kahoalii's NPI number?

The NPI number for Tasha Kahoalii is 1548920861. It was assigned to this individual provider in the NPPES registry on December 28, 2021.

Where is Tasha Kahoalii located?

Tasha Kahoalii practices at 1560 Betty Ct Ste A, Mckinleyville, CA 95519. The listed phone number is (707) 839-1933.

What is Tasha Kahoalii's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Tasha Kahoalii enrolled in Medicare?

Yes. Tasha Kahoalii 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.

Which organization bills Medicare for Tasha Kahoalii's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tasha Kahoalii reassigns Medicare benefits to Open Door Community Health Centers (Mckinleyville, CA). The 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 Tasha Kahoalii's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Tasha Kahoalii was last updated on July 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.