MEDICARE: MS. JENALENE TABBAY 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-1151	HI

General Provider Information

NPI Number	:	1346116134
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JENALENE TABBAY LMHC

Provider Business Mailing Address
First Line	:	1733 APAKI ST
Second Line	:
City	:	HONOLULU
State	:	HI
Zip	:	96817-1923
Country	:	US
Telephone Number	:	808-218-5222
Fax Number	:

Provider Business Practice Location Address
First Line	:	1345 S BERETANIA ST
Second Line	:
City	:	HONOLULU
State	:	HI
Zip	:	96814-1802
Country	:	US
Telephone Number	:	808-791-6078
Fax Number	:

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

Provider Enumeration Date	:	10/16/2025
Last Update Date	:	04/14/2026

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