MEDICARE: MENTAL HEALTH KOKUA

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251C00000X	Developmentally Disabled Services Day Training Agency
2	1041C0700X	Clinical Social Worker
3	320800000X	Mental Illness Community Based Residential Treatment Facility
4	103TC1900X	Counseling Psychologist
5	385H00000X	Respite Care
6	171M00000X	Case Manager/Care Coordinator
7	101YM0800X	Mental Health Counselor
8	251B00000X	Case Management Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1033258348	OTHER	HI	HAWAII DEPARTMENT OF HEALTH, ADULT MENTAL HEALTH DIVISION

General Provider Information

NPI Number	:	1114218625
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MENTAL HEALTH KOKUA

Provider Business Mailing Address
First Line	:	PO BOX 37248
Second Line	:
City	:	HONOLULU
State	:	HI
Zip	:	96837-0248
Country	:	US
Telephone Number	:	808-737-2523
Fax Number	:	808-734-1208

Provider Business Practice Location Address
First Line	:	1188 FORT STREET MALL STE 203
Second Line	:
City	:	HONOLULU
State	:	HI
Zip	:	96813-2713
Country	:	US
Telephone Number	:	808-737-2523
Fax Number	:

Authorized Official
Title or Position	:	CEO/ED
Name	:	GREG PAYTON
Credential	:
Telephone Number	:	808-737-2523

Provider Enumeration Date	:	05/02/2011
Last Update Date	:	03/17/2026

Similar Medicare Providers

1033258348 — MENTAL HEALTH KOKUA
Practice Location Address:

1188 FORT STREET MALL STE 203
HONOLULU, HI
96813-2713

Practice Phone: 808-737-2523
Practice Fax:

1851248108 — MR. KEVIN NGUYEN
Practice Location Address:

651 ILALO ST
HONOLULU, HI
96813-5525

Practice Phone: 808-692-0899
Practice Fax:

1568310696 — MR. KOAALII GIBSON
Practice Location Address:

500 ALA MOANA BLVD STE 6D
HONOLULU, HI
96813-4984

Practice Phone: 808-680-9123
Practice Fax:

1578074787 — KYLIE TERAMOTO MSW, LSW, BCBA, LBA
Practice Location Address:

564 SOUTH ST
HONOLULU, HI
96813-5013

Practice Phone: 808-591-1174
Practice Fax:

1780784488 — MR. REGINALD CASILANG N.P.
Practice Location Address:

500 ALA MOANA BLVD STE 7400
HONOLULU, HI
96813-4902

Practice Phone: 808-400-4491
Practice Fax: 909-265-9433

1275489635 — KAMAU SPEECH THERAPY
Practice Location Address:

345 QUEEN ST STE 702
HONOLULU, HI
96813-4718

Practice Phone: 719-680-2455
Practice Fax:

Directions to “MENTAL HEALTH KOKUA ” Practice Location

Language	Start Address	Practice Location

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