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

Active since April 18, 2008PECOS Enrolled
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: July 26, 2026.

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

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
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

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Lisa Kt Jicha Lcsw, Csac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Audiologist
100 KAHELU AVE STE 232
MILILANI, HI 96789
Marriage & Family Therapist
100 KAHELU AVE STE 232
MILILANI, HI 96789
Psychologist (Clinical)
100 KAHELU AVE STE 232
MILILANI, HI 96789
Clinic/Center (Mental Health (Including Community Mental Health Center))
100 KAHELU AVE STE 232
MILILANI, HI 96789
Nurse Practitioner (Psychiatric/Mental Health)
100 KAHELU AVE STE 232
MILILANI, HI 96789
Psychiatry & Neurology (Psychiatry)
100 KAHELU AVE STE 232
MILILANI, HI 96789
Social Worker (Clinical)
100 KAHELU AVE STE 232
MILILANI, HI 96789
Nurse Practitioner (Psychiatric/Mental Health)
100 KAHELU AVE STE 232
MILILANI, HI 96789

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 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.

Where is Lisa Jicha located?

Lisa Jicha practices at 100 Kahelu Ave Ste 232, Mililani, HI 96789. The listed phone number is (808) 625-7448.

What is Lisa Jicha's specialty?

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

Is Lisa Jicha enrolled in Medicare?

Yes. Lisa Jicha is registered in the Medicare PECOS enrollment system.

What insurance does Lisa Jicha accept?

Health plans from HMSA list Lisa Jicha as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

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