Otis Lockett, Jr., MS,LPC, CSAC, ICS,

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

230 W Wells St
Suite 214
Milwaukee, WI 53203-1866

Phone

(414) 839-8994

Fax

(414) 291-6407

NPI assigned

Jul 18, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

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

Specialty

Mental Health Counselor

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Community Advocates, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Milwaukee, WI
  • NPI 1821806928
  Medicare reassignment NPD
• Lockett Enterprises, LLC

  • Professional Counselor
  • Milwaukee, WI
  • NPI 1174927743
  NPD Authorized official
• Community Advocates, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Milwaukee, WI
  • NPI 1952608721
  NPD

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

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412899200000",
    "number": "1134329238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 W WELLS ST",
            "address_2": "SUITE 214",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532031866",
            "telephone_number": "414-839-8994",
            "fax_number": "414-223-3817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 W WELLS ST",
            "address_2": "SUITE 214",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532031866",
            "telephone_number": "414-839-8994",
            "fax_number": "414-291-6407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCKETT,",
        "first_name": "OTIS",
        "name_suffix": "Jr.",
        "credential": "MS,LPC, CSAC, ICS,",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-18",
        "last_updated": "2014-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "1661",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39394200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lockett Enterprises, LLC
• Lisa D Lockett-Neumuth, WHNP
• Kirby Lockett
• Ophelia Lynette Lockett, MSW
• Tameka L Lockett
• Julia Lockhart, DO
• Gladys Marie Locks
• Tomisha Danielle Locks, RDH
• Carlin Leila Lockwood
• Courtney Lockwood

• Professional Counselor in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.