Active NPI
Larry Lockhart
- Peer Specialist
- Akron, OH
National Provider Identifier
1376100792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- Practice address
- 150 Cross Street
Akron, OH 44311-1026 - Phone
- (330) 996-9141
- Fax
- (330) 253-0377
- NPI assigned
- May 21, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CDCA.171401 | OH | |
| Case Manager/Care Coordinator | 171M00000X | OH | ||
| Peer Specialist | 175T00000X | OH | Primary |
Addresses
Primary practice location
150 Cross Street
Akron, OH 44311-1026
Mailing address
150 Cross Street
Akron, OH 44311-1026
Phone (330) 996-9141
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2847709 | Medicaid | OH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | locklarry519@gmail.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CDCA.171401 | OH | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622160000000",
"number": "1376100792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 CROSS STREET",
"city": "AKRON",
"state": "OH",
"postal_code": "443111026",
"telephone_number": "330-996-9141",
"fax_number": "330-253-0377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 CROSS STREET",
"city": "AKRON",
"state": "OH",
"postal_code": "443111026",
"telephone_number": "330-996-9141",
"fax_number": "330-253-0377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOCKHART",
"first_name": "LARRY",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-05-21",
"last_updated": "2021-05-28",
"certification_date": "2021-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "CDCA.171401",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Case Manager/Care Coordinator",
"state": "OH",
"license": null,
"primary": false
},
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "OH",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2847709",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "locklarry519@gmail.com",
"affiliation": "N",
"address_1": "665 W Market St",
"city": "Akron",
"state": "OH",
"country_code": "US",
"postal_code": "443031438",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Akron, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.