Lisa Tofano Hathaway, MBA, MA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

4558 Pleasant Garden Rd
Pleasant Garden, NC 27313-9533

Phone

(336) 338-9291

NPI assigned

Feb 29, 2024

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts, Master of Business Administration

Practice roles

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

• Hospice of Davidson County North Carolina, Inc.

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Lexington, NC
  • NPI 1407683535
  NPD
• Hospice of Davidson County North Carolina, Inc.

  • Community Based Hospice Care Agency
  • Lexington, NC
  • NPI 1568415271
  NPD

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

{
    "created_epoch": "1709164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709164800000",
    "number": "1053178756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4558 PLEASANT GARDEN RD",
            "city": "PLEASANT GARDEN",
            "state": "NC",
            "postal_code": "273139533",
            "telephone_number": "336-338-9291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4558 PLEASANT GARDEN RD",
            "city": "PLEASANT GARDEN",
            "state": "NC",
            "postal_code": "273139533",
            "telephone_number": "336-338-9291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATHAWAY",
        "first_name": "LISA",
        "middle_name": "TOFANO",
        "credential": "MBA, MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-29",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly Fash
• Jason Ford, LPN
• Whitney Hancock Gauldin, M. ED.
• Angela Gehrt, OTR/L
• Sallie N Harrell, NNP-BC
• Kendra Hensley
• Danaja Hogan, LCSW-A
• Michael Shaun Johnston, PHARM D
• Monica Jones, LCMHCA
• Keaton Community Services PLLC

• Mental Health Counselor in Pleasant Garden, NC
• Providers in Pleasant Garden, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.