Active NPI
Lisa M Dalton, MA LPC
- Professional Counselor
- Wilmington, NC
National Provider Identifier
1659430353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 5390
- Practice address
- 1606 Wellington Ave Unit C
Wilmington, NC 28401-7704 - Phone
- (910) 799-4505
- NPI assigned
- Dec 8, 2006
- Last updated
- Oct 18, 2012
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 5390 | NC | Primary |
Addresses
Primary practice location
1606 Wellington Ave Unit C
Wilmington, NC 28401-7704
Mailing address
PO Box 601
Stoneville, NC 27048-0601
Phone (336) 627-1514
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6103376 | Medicaid | NC |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5390 | NC | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350518400000",
"number": "1659430353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 601",
"city": "STONEVILLE",
"state": "NC",
"postal_code": "270480601",
"telephone_number": "336-627-1514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1606 WELLINGTON AVE UNIT C",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284017704",
"telephone_number": "910-799-4505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DALTON",
"first_name": "LISA",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "MA LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-08",
"last_updated": "2012-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "5390",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6103376",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.