KOA MENTAL HEALTH LLC
NPI 1639969264
Clinic/Center - Mental Health (Including Community Mental Health Center) in Hilo, HI

NPI Status: Active since May 07, 2025

Contact Information

1034 ULANA PL
HILO, HI
ZIP 96720
Phone: (808) 333-8094

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  • Organization
  • Clinic/Center
  • Mental Health (Including Community Menta...

About KOA MENTAL HEALTH LLC

This page provides the complete NPI Profile along with additional information for Koa Mental Health Llc, a provider established in Hilo, Hawaii operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1639969264 assigned on May 2025. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated May 2025. The authorized official of this NPI record is Joseph Daniel Gomez Lmhc (Owner/operater)

NPI
1639969264
Provider Name
KOA MENTAL HEALTH LLC
Entity Type
Organization
Location Address
1034 ULANA PL HILO, HI 96720
Location Phone
(808) 333-8094
Mailing Address
4217 W WINTER EVENING PL FAYETTEVILLE, AR 72704
Mailing Phone
(808) 333-8094
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-07-2025
Last Update Date
05-07-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Mental Health (Including Community Mental Health Center)

Taxonomy Code
261QM0801X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JOSEPH DANIEL GOMEZ LMHC

Authorized Official Title
OWNER/OPERATER
Authorized Official Phone
(808) 333-8094

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1639969264
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
266918618212
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 6 + 9 + 1 + 8 + 6 + 1 + 8 + 2 + 1 + 2 + 24 = 76
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 76 = 44

The NPI number 1639969264 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639969264, enumerated in the NPI registry as an "organization" on May 07, 2025

The provider is located at 1034 Ulana Pl Hilo, Hi 96720 and the phone number is (808) 333-8094

This medical organization specializes in Clinic/Center with taxonomy code 261QM0801X with a focus in Mental Health (Including Community Mental Health Center)

This NPI record was last updated on May 07, 2025. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.