Jolene D Shull, LMFT
Marriage & Family Therapist in Kailua, HI. Individual provider (NPI-1).
NPI number1497464762
StatusActive
Last updated in NPPESNov 15, 2022
Details
- NPI
- 1497464762
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Jolene D Shull
- Credential
- LMFT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 15, 2022
- Certification date
- Nov 15, 2022
- Last updated
- Nov 15, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | MFT-806 | HI | Yes |
Practice location
970 N Kalaheo Ave Ste A216Kailua, HI 96734-1869
Phone 760-221-9489
Mailing address
Po Box 418Kaneohe, HI 96744-0418
Phone 760-221-9489
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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