KENKO INTERVENTIONS
NPI 1013620657
Psychologist - Clinical in Park Ridge, IL
About Kenko Interventions NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KENKO INTERVENTIONS (NPI 1013620657) is a healthcare organization registered as a clinical in Park Ridge, Illinois and active in the NPI registry since December 2022. The organization lists Kenneth Kikuchi, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kenko Interventions is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Kenko Interventions, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kenko Interventions's NPI number?
The NPI number for Kenko Interventions is 1013620657. It was assigned to this organization in the NPPES registry on December 28, 2022.
Where is Kenko Interventions located?
Kenko Interventions is located at 111 S Washington Ave Ste 202, Park Ridge, IL 60068. The listed phone number is (872) 228-5326.
What is Kenko Interventions's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Kenko Interventions enrolled in Medicare?
Yes. Kenko Interventions is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Kenko Interventions?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Kenko Interventions. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Kenko Interventions was last updated on March 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Kenko Interventions · NPI 1013620657
Clinical organization in Park Ridge, Illinois. Organization record, active in the CMS NPPES registry since December 28, 2022.
## Identity
- **NPI:** 1013620657 (Entity type: Organization)
- **Enumerated:** December 28, 2022
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **Organization subpart:** No
- **Authorized official:** Kenneth Kikuchi, OWNER
## Practice location
- **Address:** 111 S WASHINGTON AVE STE 202, Park Ridge, IL 60068-4293
- **Phone:** (872) 228-5326
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Clinical Psychologist) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 22, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1013620657) · Data from the CMS NPPES public registry.