Organization Active NPI

A. Ken Koseki, Jr., M.S., CCC-SLP, LLC

  • Speech-Language Pathologist
  • Honolulu, HI
National Provider Identifier
1619323722
Registry record updated May 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
931 Issued in HI
Legal business name
A. KEN KOSEKI, JR., M.S., CCC-SLP, LLC
Practice address
520 Lunalilo Home Rd Unit 7203
Honolulu, HI 96825-1750
Phone
(808) 375-0615
Fax
(808) 396-1495
NPI assigned
May 6, 2016
Last updated
May 6, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2016

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

Authorized official

Name
Mr. Aaron Ken Koseki Jr., M.S., CCC-SLPNPI 1912069188
Title
Owner
Phone
(808) 375-0615

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 931 HI Primary

Addresses

Primary practice location

520 Lunalilo Home Rd Unit 7203
Honolulu, HI 96825-1750

Mailing address

7192 Kalanianaole Hwy Ste A143A
Honolulu, HI 96825-1849
Phone (808) 375-0615

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220412000783 HI Part B Supplier - Clinic/Group Practice 5698161057 Receives reassigned benefits from 1 practitioner
Practice locations: Honolulu, HI

National Provider Directory

National Provider Directory

Locations

7192 Kalanianaole Hwy
Ste A142
Honolulu, HI 96825
Phone (808) 375-0615

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1462492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462492800000",
    "number": "1619323722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7192 KALANIANAOLE HWY STE A143A",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968251849",
            "telephone_number": "808-375-0615",
            "fax_number": "808-396-1495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 LUNALILO HOME RD UNIT 7203",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968251750",
            "telephone_number": "808-375-0615",
            "fax_number": "808-396-1495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A. KEN KOSEKI, JR., M.S., CCC-SLP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-06",
        "last_updated": "2016-05-06",
        "status": "A",
        "authorized_official_last_name": "KOSEKI",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "KEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-375-0615",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.S., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "HI",
            "license": "931",
            "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 May 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.