Lockett Enterprises, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

5052 Issued in WI

Legal business name

LOCKETT ENTERPRISES, LLC

Practice address

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

Phone

(414) 839-8994

Fax

(414) 223-3817

NPI assigned

Oct 10, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Otis Lockett Jr., MS, LPC, CSAC, LCSNPI 1134329238

Title

President

Phone

(414) 839-8994

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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

  • Professional Counselor
  • Milwaukee, WI
  • NPI 1134329238
  NPD Authorized official
• Lisa Tara Gibson, CSAC

  • Addiction (Substance Use Disorder) Counselor
  • Milwaukee, WI
  • NPI 1881885788
  NPD (past)

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

{
    "created_epoch": "1412899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432080000000",
    "number": "1174927743",
    "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": "414-223-3817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOCKETT ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-10",
        "last_updated": "2015-05-20",
        "status": "A",
        "authorized_official_last_name": "LOCKETT",
        "authorized_official_first_name": "OTIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-839-8994",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MS, LPC, CSAC, LCS"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "5052",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39394200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Crystal Colleen Lochhead
• Kathryn Anne Lochmann, NP-C
• Kylie Lochner, PA
• Erin Locicero
• Lori Locke, SAC-IT, MS
• Lisa D Lockett-Neumuth, WHNP
• Kirby Lockett
• Ophelia Lynette Lockett, MSW
• Tameka L Lockett
• Otis Lockett, Jr., MS,LPC, CSAC, ICS,

• 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 May 20, 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.

Verify at the official NPI Registry.