Lisette McKenzie

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

2840 Plaza PL Ste 103
Raleigh, NC 27612-6342

Phone

(919) 968-0330

NPI assigned

Apr 3, 2023

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 and National Provider Directory roles.

• The Broken Crayon Initiative

  • Community/Behavioral Health Agency
  • Raleigh, NC
  • NPI 1861173486

  Addiction (Substance Use Disorder)

  NPD Authorized official

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

{
    "created_epoch": "1680480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789171200000",
    "number": "1245935097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 ATLANTIC AVE",
            "city": "BENSON",
            "state": "NC",
            "postal_code": "275047852",
            "telephone_number": "919-968-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2840 PLAZA PL STE 103",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276126342",
            "telephone_number": "919-968-0330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENZIE",
        "first_name": "LISETTE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-03",
        "last_updated": "2026-09-12",
        "certification_date": "2026-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "29126",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Marie McKenzie, M.S., LCMHCS
• Kelly Grace McKenzie, OTR/L
• Laura Klein McKenzie, PT
• Lauren Harris McKenzie, NCMHCA, NCC
• Libbie Parker McKenzie, MD
• Sheppard A. McKenzie IV, D.D.S.
• Sheppard Allen McKenzie III, MD
• Tiffany Jacqueline McKenzie, MA, LPA
• Ashley McKinley, M.A., CCC-SLP
• Halimah Marie Elizabeth McKinney

• Mental Health Counselor in Raleigh, NC
• Providers in Raleigh, 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 Sep 12, 2026; 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.