LISA VALERIE WACHTER LCAS, LCMHC
NPI 1174655732
Counselor - Mental Health in Raleigh, NC

Q: What is Lisa Wachter's NPI number?

The NPI number for Lisa Wachter is 1174655732. It was assigned to this individual provider in the NPPES registry on March 9, 2007.

Q: What is Lisa Wachter's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Wachter was last updated on March 19, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 09, 2007PECOS EnrolledAccepts Medicare Assignment

4024 BARRETT DR STE 201, RALEIGH, NC 27609(919) 413-5701(919) 808-4326 Get Directions Write a Review

NPPES record last updated: March 19, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Lisa Valerie Wachter Lcas, Lcmhc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISA VALERIE WACHTER LCAS, LCMHC (NPI 1174655732) is an individual mental health provider in Raleigh, North Carolina, licensed in North Carolina (6503) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1986).

NPPES Registry Identity

NPI1174655732

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameLISA VALERIE WACHTERCredential: LCAS, LCMHC

Location Address4024 BARRETT DR STE 201Raleigh, NC 27609

Mailing Address8505 Cottontail CtWake Forest, NC 27587-4859 · (919) 413-5701 · Fax (877) 276-4991

Phone(919) 413-5701

Fax(919) 808-4326

Sole ProprietorYes

Medical School CMSOtherGraduated 1986

Enumeration DateMarch 9, 2007

Last NPPES UpdateMarch 19, 2024

NPPES CertifiedMarch 19, 2024

✔ NPI 1174655732 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in NC · 6503

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 3581 (NC)

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X

4024 BARRETT DR STE 201, Raleigh, NC 27609

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Other Identifiers 2

Other147NKNC · Bcbs

Medicaid6103562NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lisa Valerie Wachter Lcas, Lcmhc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1759720881

PECOS Enrollment IDI20240422002281

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHAWTAY D REESE LCSW, LCAS

Social Worker (Clinical)