Individual provider Active NPI

Lisa Andrea McFadden, MSW

  • Mental Health Counselor
  • Upper Marlboro, MD
National Provider Identifier
1770735813
Registry record updated Oct 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
G12769 Issued in MD
Practice address
96 Harry S Truman Dr
Suite 250
Upper Marlboro, MD 20774-1000
Phone
(301) 324-0600
NPI assigned
Oct 21, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X G12769 MD Primary

Addresses

Primary practice location

96 Harry S Truman Dr
Suite 250
Upper Marlboro, MD 20774-1000

Mailing address

2652 Lacrosse PL
Waldorf, MD 20603-3872
Phone (301) 638-0128

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

LicenseStateTypeSpecialty
G12769MDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Metropolitan Mental Health Clinic Past Accepting new patients
Metropolitan Mental Health Clinic Mental Health Past Accepting new patients

Organizations & group practices 2

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": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224547200000",
    "number": "1770735813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2652 LACROSSE PL",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206033872",
            "telephone_number": "301-638-0128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 HARRY S TRUMAN DR",
            "address_2": "SUITE 250",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207741000",
            "telephone_number": "301-324-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCFADDEN",
        "first_name": "LISA",
        "middle_name": "ANDREA",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-21",
        "last_updated": "2008-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "G12769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Marlboro, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; 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.