Individual provider Active NPI

Savannah Elizabeth Lockwood, MS

  • Mental Health Counselor
  • Orange Park, FL
National Provider Identifier
1033093497
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
IMH27224 Issued in FL
Practice address
115 College Dr
Orange Park, FL 32065-9035
Phone
(904) 602-9802
Fax
(904) 621-5113
NPI assigned
Jul 31, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X IMH27224 FL Primary

Addresses

Primary practice location

115 College Dr
Orange Park, FL 32065-9035

Mailing address

PO Box 65190
Orange Park, FL 32065-0004
Phone (904) 602-9802

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)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
IMH27224FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Full Circle Counseling Services, LLC CurrentSince Aug 3, 2025 Accepting new patients

Locations

115 College Dr
Orange Park, FL 32065
Phone (904) 602-9802

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1753920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1033093497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 65190",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320650004",
            "telephone_number": "904-602-9802",
            "fax_number": "904-621-5113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 COLLEGE DR",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320659035",
            "telephone_number": "904-602-9802",
            "fax_number": "904-621-5113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCKWOOD",
        "first_name": "SAVANNAH",
        "middle_name": "ELIZABETH",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-31",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH27224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.