Healthcare Provider Details

I. General information

NPI: 1497483143
Provider Name (Legal Business Name): TRISEUGENY KONONELOS LMHC, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/10/2022
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

435 WALINA ST APT 501
HONOLULU HI
96815-5032
US

IV. Provider business mailing address

435 WALINA ST APT 501
HONOLULU HI
96815-5032
US

V. Phone/Fax

Practice location:
  • Phone: 312-857-6066
  • Fax:
Mailing address:
  • Phone: 312-857-6066
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number178019099
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMHC-1178
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: