Rebecca Lockridge, LPC-MHSP-TEMP

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

5587 Issued in TN

Practice address

217 E Market St Ste 100
Johnson City, TN 37601-4875

Phone

(423) 207-3336

NPI assigned

Apr 22, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Summit Counseling Services LLC

  • Professional Counselor
  • Johnson City, TN
  • NPI 1003329517
  NPD

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

{
    "created_epoch": "1650585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650585600000",
    "number": "1245974674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 E MARKET ST STE 100",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376014875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 E MARKET ST STE 100",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376014875",
            "telephone_number": "423-207-3336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCKRIDGE",
        "first_name": "REBECCA",
        "credential": "LPC-MHSP-TEMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-22",
        "last_updated": "2022-04-22",
        "certification_date": "2022-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "5587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leigh Ann Livingston, D.O.
• Mary Jo Lizotte, PT
• Donna Lockaby-Morrow, LMFT
• Fred Raymond Lockett, DC
• Eric Lockner
• Andrea C Long, PHARMD
• Douglas Long, R.P.H
• Zachary Long, OD
• Ethel L Longmire O'Neal, M.D.
• Chasity Lea Looney

• Professional Counselor in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Professional Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2022; 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.