Active NPI
Glenda Lockhart, LPC
- Professional Counselor
- Cedar Bluff, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701006942
- Practice address
- 113 Cumberland Road
Cedar Bluff, VA 24609-0810 - Phone
- (276) 964-6702
- Fax
- (276) 964-0292
- NPI assigned
- Feb 10, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0701006942 | VA | Primary |
Addresses
Primary practice location
113 Cumberland Road
Cedar Bluff, VA 24609-0810
Mailing address
PO Box 810
113 Cumberland Road
Cedar Bluff, VA 24609-0810
Phone (276) 964-6702
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240220001425 | VA | Practitioner - Mental Health Counselor | 9638513567 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Recover Together, LLC | Current | Accepting new patients | |
| Recover Together, Inc. | Current | Accepting new patients | |
| Cumberland Mountain Community Services | Past | Accepting new patients |
Locations
Dept CH 17590
Palatine, IL 60055
Phone (844) 450-3100
111 S Bedford St
Ste 205
Burlington, MA 01803
Phone (512) 439-3547
6212 Jefferson Ave
Newport News, VA 23605
113 Short St
Pounding Mill, VA 24637
Phone (270) 963-7400
410 Rosedale Ct
Ste 110
Warrenton, VA 20186
Organizations & group practices 3
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.
-
- Adult Mental Health Clinic/Center
- London, KY
- NPI 1346736758
-
- Community/Behavioral Health Agency
- Cedar Bluff, VA
- NPI 1235125055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486684800000",
"number": "1295273233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 810",
"address_2": "113 CUMBERLAND ROAD",
"city": "CEDAR BLUFF",
"state": "VA",
"postal_code": "246090810",
"telephone_number": "276-964-6702",
"fax_number": "276-964-0292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "113 CUMBERLAND ROAD",
"city": "CEDAR BLUFF",
"state": "VA",
"postal_code": "246090810",
"telephone_number": "276-964-6702",
"fax_number": "276-964-0292"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOCKHART",
"first_name": "GLENDA",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-10",
"last_updated": "2017-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701006942",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cedar Bluff, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2017; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.