MS. MARY BETH LOCKLEAR (NPI# 1659643559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659643559 |
| Entity Type | Individual |
| Full Name | MS. MARY BETH LOCKLEAR |
| Credential | LPC,LCAS |
| Practice Address |
5506 Prospect Rd Maxton NC 28364-7826 |
| Practice Telephone | 9105210552 |
| Mailing Telephone | 9107061394 |
| Enumeration Date | 2012-02-08 |
| Last Update Date | 2017-09-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
NC | Behavioral Health & Social Service Providers | |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
9105 | NC | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
A9105 | NC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 1659643559 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851795744 | Mary Locklear | Public Health or Welfare | 114 N Patterson St, Maxton, NC 28364-1735 | 2014-10-21 |
| Street Address |
5506 PROSPECT RD |
| City | MAXTON |
| State | NC |
| Zip Code | 28364-7826 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740783976 | Myranda Kari Hammonds | Specialist/Technologist | 11344 Deep Branch Rd., Maxton, NC 28364 | 2018-03-14 |
| 1336695030 | Mariah Oxendine | Counselor | 5981 Mcleod Rd, Maxton, NC 28364 | 2016-09-01 |
| 1174922546 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 120 S Odom St, St. Pauls, NC 28364 | 2014-08-21 |
| 1093138877 | Success Adolescent and Adult Services Inc. | Community/Behavioral Health | 665 E Saunders Street, Maxton, NC 28364 | 2014-01-29 |
| 1710314406 | Lauren Allia Jung | Pharmacist | 106 East Dr. Martin Luther King Jr. Dr., Maxton, NC 28364 | 2013-09-26 |
| 1568725646 | Katina Dianne Dial-scott | Counselor | 202 Hwy 74 West, Maxton, NC 28364 | 2012-06-22 |
| 1659647766 | Bridge of Empowerment,llc | Community/Behavioral Health | 651 East Wilmington Street, Maxton, NC 28364 | 2012-03-23 |
| 1871722637 | Ingram Health Services/manna House,inc | Community/Behavioral Health | 505 West Martin Luther King Drive, Maxton, NC 28364 | 2009-07-14 |
| 1710170238 | Fairley Support Group Home Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 12519 Us Hwy 501 South, Maxton, NC 28364 | 2007-08-20 |
| 1114137692 | Debbie Hammonds Chavis | Specialist | 209 West Third Street, Pembroke, NC 28364 | 2007-05-23 |
| Find all providers in zip 28364 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336695030 | Mariah Oxendine | Counselor | 5981 Mcleod Rd, Maxton, NC 28364 | 2016-09-01 |
| 1679995328 | Vivian Strickland | Counselor | 5412 Mcleod Dr, Maxton, NC 28364-9764 | 2014-01-15 |
| 1144460460 | Primary Health Choice, Inc. | Counselor | 22421 Andrew Jackson Hwy, Maxton, NC 28364-6721 | 2009-02-26 |
| 1790981512 | Angelo's Care Home, Inc | Counselor | 10091 Us Highway 74 W, Maxton, NC 28364-8936 | 2007-06-27 |
| 1548396575 | Primary Health Choice, Inc. | Counselor | 22421 Andrew Jackson Hwy, Maxton, NC 28364-6721 | 2007-02-26 |
| 1326173840 | Thad J Davis | Counselor | 22421 Andrew Jackson Hwy, Maxton, NC 28364-6721 | 2007-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205434511 | Cooper Counseling, Pllc | Counselor | 224 Woodbridge Dr, Mount Airy, NC 27030-7549 | 2020-10-09 |
| 1770190324 | Brittany B Greer | Counselor | 2002 Eastwood Rd Ste 305, Wilmington, NC 28403-7202 | 2020-09-28 |
| 1497361505 | Kisha Monique Lendore | Counselor | 2133 Rowland Pond Dr, Willow Spring, NC 27592-7575 | 2020-09-23 |
| 1538774872 | Jamila Milnes Cainey | Counselor | 12026 Snapping Turtle Ln, Huntersville, NC 28078-2341 | 2020-09-14 |
| 1861007759 | James Carroll Pittman IIi | Counselor | 2301 Stonehenge Dr Ste 110, Raleigh, NC 27615-4379 | 2020-09-09 |
| 1326652710 | Myracle Clay Clay-bennett | Counselor | 2933 S Miami Blvd, Durham, NC 27703-8025 | 2020-09-02 |
| 1457962789 | Art of Expression, Pllc | Counselor | 125 Remount Rd Ste C1-1150, Charlotte, NC 28203-6458 | 2020-08-11 |
| 1043820715 | Keep Counsel | Counselor | 8320 Hardeth Way, Raleigh, NC 27616-3237 | 2020-08-06 |
| 1427667351 | Anna-marie H Inman | Counselor | 2557 James B White Hwy N, Whiteville, NC 28472-8975 | 2020-07-27 |
| 1730797200 | Shannon Gail Sauls | Counselor | 501 America Dr, Selma, NC 27576-6143 | 2020-07-21 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.