Private Practice and Credentialing Checklist

Private Practice and Credentialing Checklist blog header with minimalist Hawaiian-inspired design, featuring a clipboard icon and calming professional style.

In order to set up your private practice in Hawaii, make sure you have each of these steps in place, and in

this order. This will also become important as you prepare to get credentialed with insurance companies.


· Be sure to finish each step done before moving onto the next step

· Many of these steps take about 5-20 minutes to complete (once you’ve overcome some decisionmaking and/or anxiety, of course).


☐ Step 1:

Ensure that you hold a Current Hawaii State License (i.e. LCSW, LMFT, LMHC, etc)

☐ Step 2: Decide whether you want to be a sole proprietor or an LLC (Limited Liability Corporation).

· Many professionals choose the LLC route for several reasons, especially in Hawaii. But the pros and cons of each can be discussed further with an accountant.

☐ Step 3: If you decide to be an LLC, decide on the name of your business/LLC.

· Tip: don’t rush this process. The name of your LLC/business will likely come to you when you

least expect it, like when you’re driving or when you’re taking a shower.

☐ Step 4: EIN/TIN (Employee Identification Number/Tax Identification Number). The terms EIN and TIN are used interchangeably:

· Apply for an Employer Identification Number (EIN) Online | Internal Revenue Service

☐ Step 5: Register your business with the DCCA (Department of Commerce and Consumer Affairs).

https://hbe.ehawaii.gov/BizEx/start.eb

☐ Step 6: NPI number (i.e. National Provider Identification). This allows you to bill insurance because it recognizes you as a clinician, and also recognizes your business.

· An individual NPI (NPI 1) is typically sufficient, but certain plans may also require a group NPI (NPI 2), even if you are a solo private practice.

https://nppes.cms.hhs.gov/#/

☐ Step 7: Malpractice Insurance Policy

· (Most plans require you to have minimum coverage of $1 million per incident, $3 million per

aggregate)

☐ Step 8: W9 Form (easily found on Google)

https://www.irs.gov/pub/irs-pdf/fw9.pdf

☐ Step 9: CV or Resume

(this step can be done at any point, even before step 1. But I place it last

because it’s okay for this to be your lowest priority)

☐ (Optional) CAQH Registration. However, many insurance plans in Hawaii don’t actually require this.

https://proview.caqh.org/Login/Index?ReturnUrl=%2f

☐ Make sure you have a physical address handy, as some insurance companies won’t accept P.O. Boxes.

· If you are strictly telehealth, you can either provide your home address and opt to keep it hidden

within directories, or you can gain permission to use another professional’s physical office (such as acolleague or your accountant)

Start Strong with The Hawaii Practice Startup Course

Have you gone through all the steps, but still need further guidance on setting up your

private practice?

Check out my course, The Hawaii Practice Startup. This course will

provide you with step-by-step video tutorials of each step of this process, links to

important websites, as well as helpful tips in each step of the process.

Use the code THTH20 at checkout to get 20% off!

Check out the course here.

Need More Support?

If you have other areas you’d like help with, or any private practice–related questions, feel free to reply to this email. You can also schedule a consultation with me over Zoom to talk through your questions one-on-one.

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About Jessica Wong, LCSW

Jessica Wong is a Licensed Clinical Social Worker and the founder of The Hawaii Therapist Hub, LLC and DaVine Counseling Services, LLC. She provides step-by-step support for Hawaii therapists who want to simplify insurance credentialing, billing compliance, and private practice growth. Jessica’s courses and consultations are designed to cut through the confusion so therapists can run their practices with confidence and clarity.Whatever it is, the way you tell your story online can make all the difference.

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