Individual provider Active NPI

Lakeisha M. Ford, LCAS-A,LCMHC

  • Mental Health Counselor
  • Cary, NC
National Provider Identifier
1417570474
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
17072 Issued in NC
Practice address
2000 Regency Pkwy Ste 255
Cary, NC 27518-8511
Phone
(704) 360-3637
NPI assigned
May 26, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Addiction (Substance Use Disorder) Counselor 101YA0400X 26232 NC
Mental Health Counselor 101YM0800X 17072 NC Primary

Addresses

Primary practice location

2000 Regency Pkwy Ste 255
Cary, NC 27518-8511

Mailing address

1952 Spring Dr
Garner, NC 27529-3486
Phone (919) 787-6131

Other practice location 1

1952 Spring Dr
Garner, NC 27529-3486
Phone (919) 787-6131 ext. 1622

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
I20250130001938 NC Practitioner - Mental Health Counselor 3476082884 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrative Wellness Solutions PLLCGroup PAC ID 8022341494, 143 clinicians

Practice addresses (Care Compare)

2000 Regency Pkwy
Suite 255
Cary, NC 27518-8511
Phone (704) 360-3637

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17072NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Wellness Solutions, PLLC Addiction (Substance Use Disorder) CurrentSince Jan 21, 2025 Accepting new patients

Locations

2000 Regency Pkwy
Ste 255
Cary, NC 27518
Phone (888) 693-0435

10430 Harris Oak Blvd
Ste L
Charlotte, NC 28269
Phone (704) 317-2930

3625 N Elm St
Ste 130
Greensboro, NC 27455

Organizations & group practices 1

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": "1590451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1417570474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1952 SPRING DR",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275293486",
            "telephone_number": "919-787-6131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 REGENCY PKWY STE 255",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275188511",
            "telephone_number": "704-360-3637"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1952 Spring Dr",
            "address_purpose": "LOCATION",
            "city": "Garner",
            "state": "NC",
            "postal_code": "275293486",
            "country_code": "US",
            "telephone_number": "919-787-6131 x1622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORD",
        "first_name": "LAKEISHA",
        "middle_name": "M.",
        "credential": "LCAS-A,LCMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-26",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "26232",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "17072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

Verify at the official NPI Registry.