Individual provider Active NPI

Lisa Casados

  • Mental Health Counselor
  • Honolulu, HI
National Provider Identifier
1275879777
Registry record updated Aug 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
615 Piikoi St
#105
Honolulu, HI 96814-3116
Phone
(808) 596-8433
NPI assigned
Jan 2, 2013
Last updated
Aug 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist 103TC2200X 2190 HI
Behavior Technician 106S00000X
Clinical Psychologist 103TC0700X 40156 TX
Mental Health Counselor 101YM0800X HI Primary

Addresses

Primary practice location

615 Piikoi St
#105
Honolulu, HI 96814-3116

Mailing address

710 Pumehana St Apt 10
Honolulu, HI 96826-3830

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240105001258 HI Practitioner - Mental Health Counselor 6901257799 Reassigns benefits to 1 organization
I20241105002795 HI Practitioner - Clinical Psychologist 6901257799 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Fields Psychiatric Consultants LLCGroup PAC ID 7911383211, 13 clinicians

Practice addresses (Care Compare)

100 Kahelu Ave
Suite 232
Mililani, HI 96789-3962
Phone (808) 207-9800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40156TXMDClinical Psychologist
2190HIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Fields Psychiatric Consultants LLC CurrentSince Aug 4, 2024 Accepting new patients
Manoasta Inc CurrentSince Jan 1, 2024 Accepting new patients
Virtualhealthconnect LLC Past Accepting new patients

Locations

438 Hobron Ln
Ste 314
Honolulu, HI 96815
Phone (808) 913-8840

100 Kahelu Ave
Ste 232
Mililani, HI 96789
Phone (808) 207-9800

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1357084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723766400000",
    "number": "1275879777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 PUMEHANA ST APT 10",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968263830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 PIIKOI ST",
            "address_2": "#105",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968143116",
            "telephone_number": "808-596-8433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASADOS",
        "first_name": "LISA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-02",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "HI",
            "license": "2190",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "40156",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "HI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.