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JAMES H HISHMEH JR. LCSW, CSAC, CSIT
NPI 1598230484
Social Worker - Clinical in Oconomowoc, WI

Active since October 08, 2018PECOS Enrolled
830 ARMOUR RD STE 2, OCONOMOWOC, WI 53066(262) 578-5545 Get Directions Write a Review

NPPES record last updated: May 4, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: May 4, 2026, Apr 29, 2026, Oct 8, 2018 (3 updates tracked since 2018).

About James H Hishmeh Jr. Lcsw, Csac, Csit NPPES

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

JAMES H HISHMEH JR. LCSW, CSAC, CSIT (NPI 1598230484) is an individual clinical provider in Oconomowoc, Wisconsin, licensed in Wisconsin (9016-123) and active in the NPI registry since October 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1598230484
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameJAMES H HISHMEH JR.Credential: LCSW, CSAC, CSIT
Location Address830 ARMOUR RD STE 2Oconomowoc, WI 53066-3959
Mailing Address830 Armour Rd Ste 2Oconomowoc, WI 53066-3959 · (262) 578-5545
Phone(262) 578-5545
Sole ProprietorNo
Enumeration DateOctober 8, 2018
Last NPPES UpdateMay 4, 20263 updates tracked since enumeration
NPPES CertifiedMay 4, 2026
✔ NPI 1598230484 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 WI · 9016-123
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.
830 ARMOUR RD STE 2, Oconomowoc, WI 53066
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Medica, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

James H Hishmeh Jr. Lcsw, Csac, Csit is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show James Hishmeh reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PA
1,283 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Illinois and Wisconsin enrollments
  • 581 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53066 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 $53.90 – $163.24
Typical copayment $0.00 (range $13.47 – $40.81)
Most-billed visit code NA
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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

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

JOANNE BERTHELSEN LCSW LLC
Social Worker (Clinical)
830 ARMOUR RD STE 2
OCONOMOWOC, WI 53066
Waukesha County (262) 235-2350

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 James Hishmeh's NPI number?

The NPI number for James Hishmeh is 1598230484. It was assigned to this individual provider in the NPPES registry on October 8, 2018.

Where is James Hishmeh located?

James Hishmeh practices at 830 Armour Rd Ste 2, Oconomowoc, WI 53066. The listed phone number is (262) 578-5545.

What is James Hishmeh's specialty?

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

Is James Hishmeh enrolled in Medicare?

Yes. James Hishmeh is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for James Hishmeh's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Hishmeh reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). The 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 James Hishmeh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Hishmeh accept?

Health plans from Anthem Blue Cross and Blue Shield, Medica and UnitedHealthcare list James Hishmeh 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 James Hishmeh was last updated on May 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.