Active NPI
Kelsey Anne Larsh
- Behavior Analyst
- Honolulu, HI
National Provider Identifier
1124789300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- BA-753
- Practice address
- 500 Ala Moana Blvd Ste 7400
Honolulu, HI 96813-4902 - Phone
- (808) 501-1300
- Fax
- (855) 892-0299
- NPI assigned
- Jan 10, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-21-53254 | ||
| Behavior Analyst | 103K00000X | BA-753 | HI | Primary |
Addresses
Primary practice location
500 Ala Moana Blvd Ste 7400
Honolulu, HI 96813-4902
Mailing address
507 Walnut St
Three Rivers, MI 49093-1433
Phone (269) 535-0438
Other practice location 1
2675 Court Dr # B
Gastonia, NC 28054-1478
Phone (704) 824-4999
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BA-753 | HI | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742860800000",
"number": "1124789300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "507 WALNUT ST",
"city": "THREE RIVERS",
"state": "MI",
"postal_code": "490931433",
"telephone_number": "269-535-0438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 ALA MOANA BLVD STE 7400",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968134902",
"telephone_number": "808-501-1300",
"fax_number": "855-892-0299"
}
],
"practiceLocations": [
{
"address_1": "2675 Court Dr # B",
"address_purpose": "LOCATION",
"city": "Gastonia",
"state": "NC",
"postal_code": "280541478",
"country_code": "US",
"telephone_number": "704-824-4999",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LARSH",
"first_name": "KELSEY",
"middle_name": "ANNE",
"name_prefix": "Miss",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-10",
"last_updated": "2025-03-25",
"certification_date": "2025-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": "1-21-53254",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "HI",
"license": "BA-753",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.