Lisa Jo Clemens, MA, LCMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

18848 Issued in NC

Practice address

1319 N Brightleaf Blvd Ste F
Smithfield, NC 27577-4876

Phone

(919) 934-1312

NPI assigned

Jul 12, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Lisa Jo Clemens Other name

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

Specialty

Mental Health Counselor

Education

Other, 2019

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Pride in North Carolina, LLC

  • Community/Behavioral Health Agency
  • Greenville, NC
  • NPI 1760420186

  Mental Health

  Medicare reassignment NPD
• Pride in North Carolina, LLC

  • Community/Behavioral Health Agency
  • Jacksonville, NC
  • NPI 1821136581

  Mental Health

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1720742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771977600000",
    "number": "1841037140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1319 N BRIGHTLEAF BLVD STE F",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275774876",
            "telephone_number": "919-934-1312",
            "fax_number": "919-934-1080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1319 N BRIGHTLEAF BLVD STE F",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275774876",
            "telephone_number": "919-934-1312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEMENS",
        "first_name": "LISA",
        "middle_name": "JO",
        "credential": "MA, LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-12",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "18848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "CLEMENS",
            "middle_name": "JO",
            "credential": "MA, LCMHC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Classic Care Holdings LLC (Classic Care Holdings 103)
• Classic Care Holdings LLC (Classic Care Homes 105)
• Classic Care Homes
• Classic Care Homes 103
• Classic Care Homes 105
• Clemson Sports Medicine and Rehabilitation, Inc. (Sports Plus)
• Kristine Danielle Cleveland
• Joseph Tucker Cline, MD
• Coates Hearing Clinic, PA
• Kathleen Tolin Coates, AU.D.

• Mental Health Counselor in Smithfield, NC
• Providers in Smithfield, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.