Active NPI
Carl Brent Locklear, LPC
- Professional Counselor
- Lumberton, NC
National Provider Identifier
1023172871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 4922
- Practice address
- 2105B E Elizabethtown Rd
Lumberton, NC 28358-3107 - Phone
- (910) 738-7865
- NPI assigned
- Dec 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 4922 | NC | Primary |
Addresses
Primary practice location
2105B E Elizabethtown Rd
Lumberton, NC 28358-3107
Mailing address
PO Box 963
Lumberton, NC 28359-0963
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6102858 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4922 | NC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431475200000",
"number": "1023172871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 963",
"city": "LUMBERTON",
"state": "NC",
"postal_code": "283590963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2105B E ELIZABETHTOWN RD",
"city": "LUMBERTON",
"state": "NC",
"postal_code": "283583107",
"telephone_number": "910-738-7865"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOCKLEAR",
"first_name": "CARL",
"middle_name": "BRENT",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-19",
"last_updated": "2015-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "4922",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6102858",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lumberton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.