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MENTALOHA LLC
NPI 1881305357
Nurse Practitioner - Psychiatric/Mental Health in Lihue, HI

Active since December 06, 2022
4210 HANAHAO PL STE 202, LIHUE, HI 96766(808) 725-2008(808) 461-7098 Get Directions Write a Review

NPPES record last updated: December 6, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mentaloha Llc NPPES

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

MENTALOHA LLC (NPI 1881305357) is a healthcare organization registered as a psychiatric/mental health in Lihue, Hawaii and active in the NPI registry since December 2022. The organization lists Matthew Jenkins, Manager, as its authorized official.

NPPES Registry Identity

NPI1881305357
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameMENTALOHA LLC
Location Address4210 HANAHAO PL STE 202Lihue, HI 96766-9036
Mailing Address4144 Aikepa StLihue, HI 96766-8131 · (808) 855-5775 · Fax (808) 461-7098
Phone(808) 725-2008
Fax(808) 461-7098
Organization SubpartNo
Authorized OfficialMatthew JenkinsManager · (808) 725-2008
Enumeration DateDecember 6, 2022
NPPES CertifiedDecember 6, 2022
✔ NPI 1881305357 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
4210 HANAHAO PL STE 202, Lihue, HI 96766
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Other Identifiers 1

Medicaid004616HI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mentaloha Llc 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 Mentaloha LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Matthew Jenkins, APRN-RX, PMHNP-BC
Nurse Practitioner
NPI 1295457471
4210 HANAHAO PL STE 202
Lihue, HI 96766
(808) 855-5775
✔ PECOS✔ Accepts MedicareSame address

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 Mentaloha LLC's NPI number?

The NPI number for Mentaloha LLC is 1881305357. It was assigned to this organization in the NPPES registry on December 6, 2022.

Where is Mentaloha LLC located?

Mentaloha LLC is located at 4210 Hanahao Pl Ste 202, Lihue, HI 96766. The listed phone number is (808) 725-2008.

What is Mentaloha LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Mentaloha LLC enrolled in Medicare?

Yes. Mentaloha LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mentaloha LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Mentaloha LLC. 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 Mentaloha LLC was last updated on December 6, 2022. 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.