Individual provider Active NPI

Anik Huffman Cockroft, D.O.

  • Mental Health Counselor
  • Honolulu, HI
National Provider Identifier
1538498498
Registry record updated Jun 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1319 Punahou St
7TH Floor
Honolulu, HI 96826-1001
Phone
(808) 369-1200
NPI assigned
Dec 23, 2009
Last updated
Jun 15, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

1319 Punahou St
7TH Floor
Honolulu, HI 96826-1001

Mailing address

3030 Pualei Cir
320
Honolulu, HI 96815-4947
Phone (813) 504-0417

Other identifiers 1

IdentifierTypeStateIssuer
DOSR 291OtherHIHAWAII MEDICAL LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190129001141 HI Practitioner - Pediatric MedicinePractitioner - Sports Medicine 4688911621 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
RP Medical LLC CurrentSince Feb 1, 2019 Accepting new patients

Locations

270 Dairy Rd
Ste 239
Kahului, HI 96732

305 Keawe St
Ste 507
Lahaina, HI 96761
Phone (808) 667-7676

Interoperability endpoints

  • Direct secure messaging: anik.cockroft.huffman@261535006064644.direct.elationemr.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1261526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402790400000",
    "number": "1538498498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 PUALEI CIR",
            "address_2": "320",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968154947",
            "telephone_number": "813-504-0417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1319 PUNAHOU ST",
            "address_2": "7TH FLOOR",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968261001",
            "telephone_number": "808-369-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COCKROFT",
        "first_name": "ANIK",
        "middle_name": "HUFFMAN",
        "name_prefix": "Mrs.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-23",
        "last_updated": "2014-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAWAII MEDICAL LICENSE NUMBER",
            "identifier": "DOSR 291",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.