Kassel Tuzon Taeza-Vincent

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

553 Issued in HI

Practice address

23 Hoola Hou St
Wailuku, HI 96793-5714

Phone

(808) 344-8236

NPI assigned

May 21, 2018

Last updated

Sep 13, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Inner Abundance Therapy LLC

  • Marriage & Family Therapist
  • Wailuku, HI
  • NPI 1073096004
  Medicare reassignment NPD Authorized official
• Maui Neuropsychology Group, Inc

  • Clinical Neuropsychologist
  • Kahului, HI
  • NPI 1982330916
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1526860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536796800000",
    "number": "1013408509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 HOOLA HOU ST",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967935714",
            "telephone_number": "808-344-8236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 HOOLA HOU ST",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967935714",
            "telephone_number": "808-344-8236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAEZA-VINCENT",
        "first_name": "KASSEL",
        "middle_name": "TUZON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-21",
        "last_updated": "2018-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "HI",
            "license": "553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachary Swaney, PT, DPT
• Giulietta C Swenson, PSY.D.
• Melissa Swoope, PHARM, D. RPH
• Danna Tabisola, B.A.
• Dillon Kapena Tacdol, MD
• Lilian Miki Takizawa, APRN
• Mona M Takumi, MS, CCC-A
• Casey Zeni Tamashiro, D.D.S.
• Kasey-Kalei Anne Tamashiro, DMD
• Cynthia Meyer Tamayo, PT

• Marriage & Family Therapist in Wailuku, HI
• Providers in Wailuku, HI by specialty
• Marriage & Family Therapist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.