Lida Lisowe, NCC, LPCA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

8452 Issued in NC

Practice address

3725 National Dr
Suite 220
Raleigh, NC 27612-4066

Phone

(919) 781-8370

NPI assigned

Oct 26, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Aug 1, 2025 through Aug 1, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• New Leaf Behavioral Health

  • Community/Behavioral Health Agency
  • Raleigh, NC
  • NPI 1508042003

  Mental Health

  NPD (past)
• New Leaf Behavioral Health

  • Psychiatry Physician
  • Raleigh, NC
  • NPI 1720313778
  NPD (past)

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

{
    "created_epoch": "1351209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459209600000",
    "number": "1972856060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8604 ERINSBROOK DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276178338",
            "telephone_number": "919-322-9699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3725 NATIONAL DR",
            "address_2": "SUITE 220",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276124066",
            "telephone_number": "919-781-8370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LISOWE",
        "first_name": "LIDA",
        "credential": "NCC, LPCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-26",
        "last_updated": "2016-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "8452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marijana Lisak
• Jennifer Mary Lischer, O.T./L.
• Michael Clarke Lish, MD
• Rachel Lisi
• Philip Alan Lisk, DDS
• Glenn Lissner
• Scott Walker Lisson, MD
• Katherine Mendat List, LPCS
• Listening Ear Therapeutic Services, PC
• Angela Liszewski, PA-C

• Mental Health Counselor in Raleigh, NC
• Providers in Raleigh, 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 Mar 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.