Lisa Peterson, LMHC LCDP LCDCS MAC
Lisa Peterson, LMHC LCDP LCDCS MAC is a Mental Health Counselor in Providence, RI, registered under NPI 1962514869. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.
Getting there
The practice address on file is 110 ELMWOOD AVE, Providence, RI 02907. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| MHC00235 | RI | Mental Health Counselor primary |
| LCDP00129 | RI | Addiction (Substance Use Disorder)… |
This provider holds licence MHC00235 issued in RI. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Mental Health Counselor
- PAC ID
- 3577993526
- Enrollment ID
- I20240426000159
Medicare enrolment is recorded as approved under the provider type Practitioner - Mental Health Counselor. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Mental Health covers
Definition to come... NUCC Health Care Provider Taxonomy, code 101YM0800X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 101YM0800X | Mental Health Counselor Mental Health | MHC00235 | RI | primary |
| 103TA0400X | Addiction (Substance Use Disorder) Psychologist Addiction (Substance Use Disorder) | LCDP00129 | RI |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1962514869 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Aug 31, 2006 |
| Last updated | Jun 10, 2025 |
| Status | Active |
| Sole proprietor | No |
| Credential | LMHC LCDP LCDCS MAC |
| Practice address |
110 ELMWOOD AVE Providence, RI 02907 (401) 432-6029 Fax (401) 300-5656 |
| Other identifiers |
412210
· Other (RI) 29290 8 · Other (RI) LJ55332 · Medicaid (RI) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 9 | 6 | 2 | 5 | 1 | 4 | 8 | 6 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 9 | 3 | 2 | 1 | 1 | 8 | 8 | 3 |
Sum = 61 · next multiple of 10 = 70 · check digit = 9 · actual last digit = 9
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.