IndividualActive
Jennifer De Costa, PHD, MFT, CSAC
NPI 1063665529 · Marriage & Family Therapist · Kailua Kona, HI
Provider details
- NPI number
- 1063665529
- Entity type
- Individual
- Primary specialty
- Marriage & Family TherapistBehavioral Health & Social Service Providers
- Credential
- PHD, MFT, CSAC
- Sex
- Female
- Sole proprietor
- No
- License
- MFT272 (HI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
75-5751 Kuakini Hwy
Suite 105
Kailua Kona, HI 96740-1752
Phone: (808) 326-5629
Fax: (808) 329-5057
Street-level locationGet directions
Mailing address
75-5751 Kuakini Hwy
Kailua Kona, HI 96740-1752
Registry dates
- Enumerated
- 2008-10-28
- Last updated
- 2011-04-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.