Active NPI
Lisa Sledd, MFT
- Mental Health Counselor
- Arcadia, CA
National Provider Identifier
1922773134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 148797
- Practice address
- 150 N Santa Anita Ave Ste 800
Arcadia, CA 91006-3129 - Phone
- (512) 577-9804
- NPI assigned
- Aug 10, 2021
- Last updated
- Mar 18, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 125405 | CA | |
| Mental Health Counselor | 101YM0800X | 148797 | CA | Primary |
Addresses
Primary practice location
150 N Santa Anita Ave Ste 800
Arcadia, CA 91006-3129
Mailing address
150 N Santa Anita Ave Ste 800
Arcadia, CA 91006-3129
Phone (512) 577-9804
Other practice location 1
12598 Central Ave Ste 202
Chino, CA 91710-3530
Phone (909) 576-3889
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 125405 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241209004074 | CA | Practitioner - Marriage and Family Therapist | 8426584855 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125405 | CA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Personalized Treatment & Intervention Services | Current | Accepting new patients |
Locations
11800 Central Ave
Ste 225
Chino, CA 91710
Phone (909) 576-3889
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Counselor
- Monrovia, CA
- NPI 1245034354
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Inglewood, CA
- NPI 1861026445
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742256000000",
"number": "1922773134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 N SANTA ANITA AVE STE 800",
"city": "ARCADIA",
"state": "CA",
"postal_code": "910063129",
"telephone_number": "512-577-9804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 N SANTA ANITA AVE STE 800",
"city": "ARCADIA",
"state": "CA",
"postal_code": "910063129",
"telephone_number": "512-577-9804"
}
],
"practiceLocations": [
{
"address_1": "12598 Central Ave Ste 202",
"address_purpose": "LOCATION",
"city": "Chino",
"state": "CA",
"postal_code": "917103530",
"country_code": "US",
"telephone_number": "909-576-3889",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SLEDD",
"first_name": "LISA",
"credential": "MFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-10",
"last_updated": "2025-03-18",
"certification_date": "2025-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "125405",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "148797",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "125405",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Arcadia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2025; 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.