JENNIFER B LOCKLEAR (NPI# 1679665590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679665590 |
| Entity Type | Individual |
| Full Name | JENNIFER B LOCKLEAR |
| Credential | NCC, LPCS, LCAS, CSI |
| Practice Address |
6620 Shallowford Rd Suite 200 Lewisville NC 27023-9504 |
| Practice Telephone | 3367570258 |
| Practice Fax Number | 3369450342 |
| Mailing Telephone | 3367570258 |
| Mailing Fax Number | 3369450342 |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2014-11-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
5123 | NC | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
5123 | NC | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
5123 | NC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | GROUP NPI | 1780013037 | 01 |
| NC | 6103500 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316130461 | Jennifer Fawn Locklear | Counselor | 116 Ne 5th St, Crystal River, FL 34429-4150 | 2007-08-22 |
| 1457571432 | Jennifer Pickens Locklear | Family Medicine | 410d S Jones St, Pembroke, NC 28372-7261 | 2007-05-01 |
| Street Address |
6620 SHALLOWFORD RD SUITE 200 |
| City | LEWISVILLE |
| State | NC |
| Zip Code | 27023-9504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811394612 | Novant Medical Group, Inc | Psychiatry & Neurology | 6620 Shallowford Rd, Suite 200, Lewisville, NC 27023-9504 | 2014-11-24 |
| 1780013037 | Lewisville Family Counseling, Pllc | Counselor | 6620 Shallowford Rd, Suite 200, Lewisville, NC 27023-9504 | 2013-11-07 |
| 1316065204 | Cornelio Roderick Ruperto | Psychiatry & Neurology | 6620 Shallowford Rd, Suite 200, Lewisville, NC 27023-9504 | 2007-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578106845 | Mary Margaret Johnson | Social Worker | 6614 Shallowford Rd. Suite 250, Lewisville, NC 27023 | 2019-10-19 |
| 1306127527 | Gohar Karami | Clinical Nurse Specialist | 200 Shallowford Reserve Dr #303, Lewisville, NC 27023 | 2011-09-01 |
| 1013107259 | Lewisville Optical Inc | Durable Medical Equipment & Medical Supplies | 6758 Shallowford Road, Lewisville, NC 27023 | 2007-07-25 |
| 1013112960 | Patrick Paul Welch | Counselor | 5041 Styers Ferry Rd, Lewisville, NC 27023 | 2007-06-20 |
| 1881736551 | Kathleen Diane Morin | Speech-Language Pathologist | 8800 Buckey Court, Lewisville, NC 27023 | 2007-02-12 |
| 1396836755 | Connie Lynn Marie Bigwood | Physical Therapist | 765 Manarda Circle, Lewisville, NC 27023 | 2006-09-28 |
| 1831272087 | Christopher Culley | Physician Assistant | 4622 Country Club Road, Suite 180, Winston-salem, NC 27023-3770 | 2006-10-23 |
| 1710353107 | Vanessa Fitzgerald | Peer Specialist | 423 Brookway West Dr, Lewisville, NC 27023-7602 | 2015-08-19 |
| 1497103451 | Frank Barron | Counselor | 1035 Kensford Dr, Lewisville, NC 27023-7635 | 2016-06-01 |
| 1144324591 | Yuegang Chen | Physician Assistant | 1052 Feldspa Ln., Lewisville, NC 27023-7639 | 2006-09-07 |
| Find all providers in zip 27023 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366078602 | Caroline Joanna Walton | Counselor | 2012 Fm 407 Ste 200c, Lewisville, TX 75077-7193 | 2020-03-18 |
| 1073176764 | Suzanne Louise Nieves | Counselor | 2785 Rockbrook Dr Ste 306, Lewisville, TX 75067-5251 | 2019-04-17 |
| 1780177832 | Mary Vixaisack | Counselor | 937 Golden Grove Dr, Lewisville, TX 75067-6118 | 2018-06-13 |
| 1255821286 | Alicia D Wallace | Counselor | 105 Kathryn Dr. Bldg. 3, Ste. D, Lewisville, TX 75067 | 2018-05-15 |
| 1841710480 | Sofia Lopez Galvan | Counselor | 326 S Edmonds Ln Ste 103, Lewisville, TX 75067-3507 | 2017-06-25 |
| 1013448513 | Casey Dudark Newman | Counselor | 105 Kathryn Dr # 3, Lewisville, TX 75067-4216 | 2017-03-26 |
| 1831639160 | Jacqueline Nguyen Bang | Counselor | 2287 Sir Amant Drive, Lewisville, TX 75056 | 2017-03-06 |
| 1811447931 | Christy K Narvaez | Counselor | 275 E Vista Ridge Mall Dr Apt 7823, Lewisville, TX 75067-4037 | 2016-10-12 |
| 1780131417 | Theresa Braddy | Counselor | 160 E Vista Ridge Mall Dr, 1415, Lewisville, TX 75067-3716 | 2016-09-11 |
| 1396291662 | Jamie Walker | Counselor | 105 Kathryn Dr Bld 3 Ste D, Lewisville, TX 75067-4200 | 2016-08-28 |
| Find all providers in LEWISVILLE | ||||
| City | LEWISVILLE |
| Zip Code | 27023 |
Please comment or provide details below to improve the information on JENNIFER B LOCKLEAR.
| 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.