Jason Lillich, CSW-PIP, QMHP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

4762 Issued in SD

Practice address

11 4TH Street East
Lemmon, SD 57638

Phone

(605) 374-3862

Fax

(605) 374-3864

NPI assigned

Mar 28, 2018

Last updated

Jun 19, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SD

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 1

Specialty

Clinical Social Worker

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Three Rivers Mental Health and Chemical Dependency CenterGroup PAC ID 7315380185, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Three Rivers Mental Health and Chemical Dependency Center

  dba Three Rivers Counseling

  • Mental Health Counselor
  • Lemmon, SD
  • NPI 1811001985
  Medicare reassignment Care Compare group NPD
• Deutscher Clinics, P. C.

  • Chiropractor
  • Lemmon, SD
  • NPI 1992032882
  NPD

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

{
    "created_epoch": "1522195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718755200000",
    "number": "1821593005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 447",
            "city": "LEMMON",
            "state": "SD",
            "postal_code": "57638",
            "telephone_number": "605-374-3862",
            "fax_number": "605-374-3864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 4TH STREET EAST",
            "city": "LEMMON",
            "state": "SD",
            "postal_code": "57638",
            "telephone_number": "605-374-3862",
            "fax_number": "605-374-3864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LILLICH",
        "first_name": "JASON",
        "name_prefix": "Mr.",
        "credential": "CSW-PIP, QMHP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-28",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SD",
            "license": "4762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara L. Jorgenson, MS,LPC,QMHP
• Michelle L. Kennedy, MSW-CSW-QMHP
• Lemmon Area Medical Association (Five Counties Nursing Home)
• Lemmon Emt Association (Perkins County Ambulance)
• Lemmon School District 52-4
• Live Center Inc
• Live Center Inc.
• Live Center Inc. (Arrow Public Transit)
• Joseph Loncarevich, PA
• Allan McGough, MSW-LCSW-QMHP

• Clinical Social Worker in Lemmon, SD
• Providers in Lemmon, SD by specialty
• Clinical Social Worker in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.