Lisa Akemi Peck, LMHC, M.A.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MHC 386 Issued in HI

Practice address

1822 Keeaumoku St
Honolulu, HI 96822-3001

Phone

(808) 779-1166

Fax

(808) 527-4954

NPI assigned

Apr 18, 2013

Last updated

Jan 6, 2016By the provider in NPPES

Sex

Female

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 HI

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

Mental Health Counselor

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Catholic Charities HawaiiGroup PAC ID 7416372081, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

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.

• Catholic Charities Hawaii

  dba The Counseling Center Hawaii

  • Marriage & Family Therapist
  • Honolulu, HI
  • NPI 1508134107

  Mental Health

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1366243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452038400000",
    "number": "1902240138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1822 KEEAUMOKU ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968223001",
            "telephone_number": "808-779-1166",
            "fax_number": "808-527-4954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1822 KEEAUMOKU ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968223001",
            "telephone_number": "808-779-1166",
            "fax_number": "808-527-4954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECK",
        "first_name": "LISA",
        "middle_name": "AKEMI",
        "name_prefix": "Mrs.",
        "credential": "LMHC, M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-18",
        "last_updated": "2016-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "HI",
            "license": "MHC 386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Pearl, M.D.
• Erika Marie Pearson, PNP
• Joylynn Pearson
• Lydia Pearson
• Kenneth David Peck
• David J. Pedersen, PA-C
• Robert C. Pedersen, M.D.
• Pediatric Group of Honolulu, LLP
• Pediatric Medical Group, LLC
• Pediatric Ophthalmology Associates of Hawaii Inc

• Mental Health Counselor in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Mental Health Counselor in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2016; 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.