MEDICARE: ELISABETH MATHER LMHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	MHC-758	HI

General Provider Information

NPI Number	:	1134649916
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELISABETH MATHER LMHC

Provider Business Mailing Address
First Line	:	3140 WAIALAE AVE
Second Line	:
City	:	HONOLULU
State	:	HI
Zip	:	96816-1578
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3140 WAIALAE AVE
Second Line	:
City	:	HONOLULU
State	:	HI
Zip	:	96816-1510
Country	:	US
Telephone Number	:	808-735-4711
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/22/2017
Last Update Date	:	12/15/2025

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