Organization Active NPI

Koan Health

  • Case Management Agency
  • Honolulu, HI
National Provider Identifier
1356895486
Registry record updated Aug 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
MFT 242 Issued in HI
Legal business name
KOAN HEALTH
Practice address
1580 Makaloa St
Suite 550
Honolulu, HI 96814-3237
Phone
(808) 469-4505
Fax
(808) 356-1645
NPI assigned
Aug 5, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2016

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

Authorized official

Name
Ian Watanabe, CCM, MFT
Title
Program Manager
Phone
(808) 469-4505

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X MFT 242 HI Primary
Community/Behavioral Health Agency 251S00000X MFT 242 HI

Addresses

Primary practice location

1580 Makaloa St
Suite 550
Honolulu, HI 96814-3237

Mailing address

1580 Makaloa St
Suite 550
Honolulu, HI 96814-3237
Phone (808) 469-4505

National Provider Directory

National Provider Directory

Locations

1580 Makaloa St
Ste 550
Honolulu, HI 96814
Phone (808) 469-4505

NPI Registry JSON

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

{
    "created_epoch": "1470355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470355200000",
    "number": "1356895486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1580 MAKALOA ST",
            "address_2": "SUITE 550",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968143237",
            "telephone_number": "808-469-4505",
            "fax_number": "808-356-1645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 MAKALOA ST",
            "address_2": "SUITE 550",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968143237",
            "telephone_number": "808-469-4505",
            "fax_number": "808-356-1645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOAN HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-05",
        "last_updated": "2016-08-05",
        "status": "A",
        "authorized_official_last_name": "WATANABE",
        "authorized_official_first_name": "IAN",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "authorized_official_telephone_number": "808-469-4505",
        "authorized_official_credential": "CCM, MFT"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "HI",
            "license": "MFT 242",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "HI",
            "license": "MFT 242",
            "primary": false
        }
    ],
    "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 Aug 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.