Individual provider Active NPI

Mary Frances Lockwood, MS, ALC

  • Mental Health Counselor
  • Brooklyn, NY
National Provider Identifier
1043449424
Registry record updated Feb 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
09366 Issued in NY
Practice address
716 Sackett St Apt 3RF
Brooklyn, NY 11217-4540
Phone
(133) 471-4659
NPI assigned
Jul 7, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C1502A AL
Mental Health Counselor 101YM0800X 09366 NY Primary

Addresses

Primary practice location

716 Sackett St Apt 3RF
Brooklyn, NY 11217-4540

Mailing address

716 Sackett St Apt 3RF
Brooklyn, NY 11217-4540
Phone (334) 714-6597

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241101000632 NY Practitioner - Mental Health Counselor 3072046788 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Carmel Psychological Health PCGroup PAC ID 4385530351, 222 clinicians

Practice addresses (Care Compare)

203 Jay St
Suite 501
Brooklyn, NY 11201-4398
Phone (347) 304-9465

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
C1502AALMDMental Health Counselor
09366NYMDMental Health Counselor
009366NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Carmel Psychological Health, PC Mental Health CurrentSince Sep 28, 2024 Accepting new patients

Locations

4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392

203 Jay St
Ste 501
Brooklyn, NY 11201
Phone (347) 304-9465

667 Stoneleigh Ave
Ste 202
Carmel, NY 10512
Phone (845) 278-5223

Interoperability endpoints

  • Direct secure messaging: cpa.marylockwood@142175.advancedmd-direct.com

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": "1246924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646006400000",
    "number": "1043449424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 SACKETT ST APT 3RF",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112174540",
            "telephone_number": "334-714-6597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 SACKETT ST APT 3RF",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112174540",
            "telephone_number": "133-471-4659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCKWOOD",
        "first_name": "MARY",
        "middle_name": "FRANCES",
        "name_prefix": "Ms.",
        "credential": "MS, ALC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-07",
        "last_updated": "2022-02-28",
        "certification_date": "2022-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AL",
            "license": "C1502A",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "09366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.