Individual provider Active NPI

Lisa Renee Pratt-Winborne, LCMHC

  • Mental Health Counselor
  • Charlotte, NC
National Provider Identifier
1144717679
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
13675 Issued in NC
Practice address
14125 Steele Creek Rd
Charlotte, NC 28273-3968
Phone
(202) 510-8846
NPI assigned
Apr 19, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 13675 NC Primary

Addresses

Primary practice location

14125 Steele Creek Rd
Charlotte, NC 28273-3968

Mailing address

14125 Steele Creek Rd
Charlotte, NC 28273-3968
Phone (202) 510-8846

Other names 1

  • Lisa Conze Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250703004142 TX Practitioner - Mental Health Counselor 3678087426 Reassigns benefits to 2 organizations
I20251122000388 NC Practitioner - Mental Health Counselor 3678087426 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

414 W Lebanon St
Mount Airy, NC 27030-2954

5171 Glenwood Ave
Suite 211
Raleigh, NC 27612-2732

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13675NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Brave Health Medical Group PA Mental Health CurrentSince Jul 14, 2025 Accepting new patients
Grow Healthcare Group PA Mental Health CurrentSince May 27, 2025 Accepting new patients
Easter Seals Ucp North Carolina & Virginia, Inc. Mental Health CurrentSince Oct 28, 2025 Accepting new patients
Easter Seals Ucp North Carolina & Virginia, Inc. CurrentSince Oct 28, 2025 Accepting new patients
Pride in North Carolina, LLC Mental Health Past Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

5000 Falls of Neuse Rd
Ste 300
Raleigh, NC 27609
Phone (919) 865-8710

5171 Glenwood Ave
Ste 211
Raleigh, NC 27612
Phone (919) 210-7661

675 Town Square Blvd
Ste 200
Garland, TX 75040
Phone (305) 579-9538

700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1524096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751846400000",
    "number": "1144717679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14125 STEELE CREEK RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282733968",
            "telephone_number": "202-510-8846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14125 STEELE CREEK RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282733968",
            "telephone_number": "202-510-8846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRATT-WINBORNE",
        "first_name": "LISA",
        "middle_name": "RENEE",
        "credential": "LCMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-19",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "13675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "CONZE",
            "credential": "LPC-A, NCC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.