Individual provider Active NPI

Lisa Michelle Johnson

  • Professional Counselor
  • Lincolnton, NC
National Provider Identifier
1194433482
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
18247 Issued in NC
Practice address
1436 Laboratory Rd
Lincolnton, NC 28092-3127
Phone
(704) 835-5954
NPI assigned
Nov 7, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 18247 NC Primary

Addresses

Primary practice location

1436 Laboratory Rd
Lincolnton, NC 28092-3127

Mailing address

284 Executive Park Dr Ste 100
Concord, NC 28025-1833
Phone (704) 297-0564

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20250708003391 NC Practitioner - Mental Health Counselor 4880108265 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MonarchGroup PAC ID 0244273852, 92 clinicians

Practice addresses (Care Compare)

3057 Freedom Dr
Charlotte, NC 28208-3859
Phone (704) 525-3255

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18247NCMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Monarch CurrentSince Nov 1, 2025 Accepting new patients
Daymark Recovery Services, Inc. Mental Health CurrentSince Mar 28, 2025 Accepting new patients
Monarch CurrentSince Nov 1, 2025 Accepting new patients
Monarch Current Accepting new patients

Locations

350 Pee Dee Ave
Ste 101
Albemarle, NC 28001
Phone (704) 986-1522

3057 Freedom Dr
Charlotte, NC 28208
Phone (704) 334-2226

284 Executive Park Dr
Ste 100
Kannapolis, NC 28025
Phone (704) 939-1118

820 Grimes Blvd
Lexington, NC 27292
Phone (336) 224-6071

1104A S Main St
Lexington, NC 27292
Phone (336) 300-8836

2129 Statesville Blvd
Salisbury, NC 28147
Phone (704) 633-3616

913 N Carolina Ave
Statesville, NC 28677
Phone (704) 402-1060

Interoperability endpoints

  • Direct secure messaging: lisa.johnson.p1@direct.daymarkrecovery.nextgenshare.com

Organizations & group practices 4

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": "1667779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744675200000",
    "number": "1194433482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "284 EXECUTIVE PARK DR STE 100",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280251833",
            "telephone_number": "704-297-0564",
            "fax_number": "704-939-1173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1436 LABORATORY RD",
            "city": "LINCOLNTON",
            "state": "NC",
            "postal_code": "280923127",
            "telephone_number": "704-835-5954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "LISA",
        "middle_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-07",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "18247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincolnton, NC

Sources for this page

Verify at the official NPI Registry.