Active NPI
Lisa Rochelle Gunter, MA
- Mental Health Counselor
- Raleigh, NC
National Provider Identifier
1801677216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- A19195
- Practice address
- 8406 Six Forks Rd Ste 204
Raleigh, NC 27615-3074 - Phone
- (919) 617-9656
- Fax
- (919) 561-6883
- NPI assigned
- Oct 11, 2023
- Last updated
- Oct 11, 2023
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | A19195 | NC | Primary |
Addresses
Primary practice location
8406 Six Forks Rd Ste 204
Raleigh, NC 27615-3074
Mailing address
8406 Six Forks Rd Ste 204
Raleigh, NC 27615-3074
Phone (919) 769-5134
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A19195 | NC | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mindly Group, PLLC | Mental Health | Current | Accepting new patients |
Locations
8406 Six Forks Rd
Ste 204
Raleigh, NC 27615
Phone (919) 617-9656
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696982400000",
"number": "1801677216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8406 SIX FORKS RD STE 204",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276153074",
"telephone_number": "919-769-5134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8406 SIX FORKS RD STE 204",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276153074",
"telephone_number": "919-617-9656",
"fax_number": "919-561-6883"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUNTER",
"first_name": "LISA",
"middle_name": "ROCHELLE",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-10-11",
"last_updated": "2023-10-11",
"certification_date": "2023-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "A19195",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.