OrganizationActive
Johanna Park
NPI 1093252124 · Community/Behavioral Health Agency · Hilo, HI
Johanna Park is a Community/Behavioral Health Agency organization in Hilo, HI (NPI 1093252124).
Provider details
- NPI number
- 1093252124
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Johanna Park, Owner(808) 315-1432
- License
- LMHC 427 (HI)
Specialties & taxonomies
Agencies
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
120 Keawe St Ste 203b
Suite 202
Hilo, HI 96720-2874
Phone: (808) 315-1432
Street-level locationGet directions
Mailing address
16-566 Keaau Pahoa Rd Ste 188-367
Keaau, HI 96749-8137
Registry dates
- Enumerated
- 2017-01-27
- Last updated
- 2025-12-17
- Certified
- 2025-12-17
Frequently asked questions
- What is Johanna Park's NPI number?
- Johanna Park's National Provider Identifier (NPI) is 1093252124, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Johanna Park?
- Johanna Park is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Johanna Park located?
- Johanna Park's practice location on file with NPPES is 120 Keawe St Ste 203b, Hilo, HI 96720-2874.
- What is Johanna Park's phone number?
- The practice phone number listed in the NPPES registry for Johanna Park is (808) 315-1432.
- Who is the authorized official for Johanna Park?
- The authorized official listed on Johanna Park's NPPES record is Johanna Park, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Johanna Park's NPI active?
- Yes — Johanna Park's NPI (1093252124) is active in the NPPES registry as of the last update on 2025-12-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.