Individual provider Active NPI

Lisa Sledd, MFT

  • Mental Health Counselor
  • Arcadia, CA
National Provider Identifier
1922773134
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
148797 Issued in CA
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, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
125405MedicaidCA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241209004074 CA Practitioner - Marriage and Family Therapist 8426584855

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
125405CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Personalized Treatment & Intervention Services CurrentSince Nov 1, 2024 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.

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

Verify at the official NPI Registry.