Active NPI
Lucy Liss, LCMHCA
- Mental Health Counselor
- Matthews, NC
National Provider Identifier
1639961493
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- A21410
- Practice address
- 3021 Senna Dr Ste B
Matthews, NC 28105-6727 - Phone
- (704) 443-0144
- NPI assigned
- May 19, 2025
- Last updated
- Oct 8, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | A21410 | NC | Primary |
Addresses
Primary practice location
3021 Senna Dr Ste B
Matthews, NC 28105-6727
Mailing address
3634 Sharon View Rd
Charlotte, NC 28210-3318
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A21410 | NC | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgren Counseling, PLLC | Current | Accepting new patients |
Locations
3021 Senna Dr
#B
Matthews, NC 28105
Phone (704) 443-0144
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Social Worker
- Matthews, NC
- NPI 1235422742
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791417600000",
"number": "1639961493",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3634 SHARON VIEW RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282103318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3021 SENNA DR STE B",
"city": "MATTHEWS",
"state": "NC",
"postal_code": "281056727",
"telephone_number": "704-443-0144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LISS",
"first_name": "LUCY",
"credential": "LCMHCA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-05-19",
"last_updated": "2026-10-08",
"certification_date": "2026-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "A21410",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Matthews, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.