Provider Demographics
NPI:1871215012
Name:OKAMOTO, BRANDI (MS, LMHC)
Entity type:Individual
Prefix:
First Name:BRANDI
Middle Name:
Last Name:OKAMOTO
Suffix:
Gender:F
Credentials:MS, LMHC
Other - Prefix:
Other - First Name:BRANDI LEE
Other - Middle Name:AIKO
Other - Last Name:OKAMOTO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:8300 ESTERS BLVD STE 900
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75063-2233
Mailing Address - Country:US
Mailing Address - Phone:415-424-4266
Mailing Address - Fax:415-520-6633
Practice Address - Street 1:4034 HOKU AVE APT C
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96816-4244
Practice Address - Country:US
Practice Address - Phone:808-640-8380
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-14
Last Update Date:2025-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA129307101YM0800X
HI888101YM0800X
HIMHC-888106H00000X
WALH61372625101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI0000638007OtherHMSA HAWAII
HI004467Medicaid
WA2241573Medicaid