Organization
MENTAL HEALTH KOKUA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREG PAYTON (CEO/ED)
(808) 737-2523
Entity
Organization
Contact information
Practice address
1188 FORT STREET MALL STE 203, HONOLULU, HI 96813-2713
(808) 737-2523
Mailing address
PO BOX 37248, HONOLULU, HI 96837-0248
(808) 737-2523
(808) 734-1208
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC1900X
Counseling Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
—
—
251B00000X
Case Management Agency
Primary
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1033258348
HAWAII DEPARTMENT OF HEALTH, ADULT MENTAL HEALTH DIVISION
HI
Enumeration date
05/02/2011
Last updated
03/17/2026
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