LISA KT JICHA LCSW, CSAC
NPI 1356515498
Social Worker - Clinical in Mililani, HI

Q: What is Lisa Jicha's NPI number?

The NPI number for Lisa Jicha is 1356515498. It was assigned to this individual provider in the NPPES registry on April 18, 2008.

Q: What is Lisa Jicha's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Jicha was last updated on August 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since April 18, 2008PECOS EnrolledAccepts Medicare Assignment

100 KAHELU AVE STE 232, MILILANI, HI 96789(808) 625-7448 Get Directions Write a Review

NPPES record last updated: August 4, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 4, 2026, Aug 4, 2021, Sep 18, 2017 and 1 more (4 updates tracked since 2017).

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About Lisa Kt Jicha Lcsw, Csac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISA KT JICHA LCSW, CSAC (NPI 1356515498) is an individual clinical provider in Mililani, Hawaii, licensed in Hawaii (3246) and active in the NPI registry since April 2008. She is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1356515498

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameLISA KT JICHACredential: LCSW, CSAC

Location Address100 KAHELU AVE STE 232Mililani, HI 96789-3962

Mailing AddressPo Box 893542Mililani, HI 96789-0542 · (808) 783-7860

Phone(808) 625-7448

Sole ProprietorNo

Medical School CMSOtherGraduated 1998

Enumeration DateApril 18, 2008

Last NPPES UpdateAugust 4, 20214 updates tracked since enumeration

NPPES CertifiedAugust 4, 2021

✔ NPI 1356515498 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in HI · 3246

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

100 KAHELU AVE STE 232, Mililani, HI 96789

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HMSA.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lisa Kt Jicha Lcsw, Csac is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7911473558

PECOS Enrollment IDI20260420003517

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96789 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $60.53 – $180.05

Typical copayment $0.00 (range $15.13 – $45.01)

Most-billed visit code NA

Established Patient

$74.92 typical visit price

range $20.09 – $147.56

Typical copayment $18.73 (range $5.02 – $36.89)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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