Lisa K Paden, LCMHCS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

S7340 Issued in NC

Practice address

16147 Lancaster Hwy Ste 110
Charlotte, NC 28277-4196

Phone

(704) 931-8371

NPI assigned

Sep 21, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Serenity Space Counseling, PLLC

  • Clinical Social Worker
  • Matthews, NC
  • NPI 1851773360

  Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1190332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637539200000",
    "number": "1083800247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1736 DICKERSON BLVD # 142",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281102832",
            "telephone_number": "704-931-8371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16147 LANCASTER HWY STE 110",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282774196",
            "telephone_number": "704-931-8371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADEN",
        "first_name": "LISA",
        "middle_name": "K",
        "credential": "LCMHCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-21",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "7340",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "S7340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miesha NA'Cole Pack
• Briana Packer
• Kassondra Nicole Packer, BCABA
• Charles Henry Packman, MD
• Pacs, PC
• Karen E Padgett, MA
• Lauren Alyse Padgett, DPT
• Amanda Rae Padilla Marquez, NP-C
• Natasha Suzie Padilla, NP
• Sridevi Padmanabhan, RD

• Mental Health Counselor in Charlotte, NC
• Providers in Charlotte, 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 Nov 22, 2021; 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.