Individual provider Active NPI

Kristen Leigh Lockhart, LCSW

  • Social Worker
  • San Antonio, TX
National Provider Identifier
1396205118
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
55567 Issued in TX
Practice address
17890 Blanco Rd Ste 307
San Antonio, TX 78232-1098
Phone
(210) 701-1641
NPI assigned
Mar 20, 2019
Last updated
Mar 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 55567 TX Primary

Addresses

Primary practice location

17890 Blanco Rd Ste 307
San Antonio, TX 78232-1098

Mailing address

1110 Hidden Arrow
San Antonio, TX 78258-2708
Phone (210) 317-5747

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

LicenseStateTypeSpecialty
55567TXMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Green Lotus Wellness, PLLC CurrentSince Nov 12, 2023 Accepting new patients

Locations

17890 Blanco Rd
Ste 307
San Antonio, TX 78232
Phone (210) 314-2026

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1553040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1396205118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 HIDDEN ARROW",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782582708",
            "telephone_number": "210-317-5747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17890 BLANCO RD STE 307",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782321098",
            "telephone_number": "210-701-1641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCKHART",
        "first_name": "KRISTEN",
        "middle_name": "LEIGH",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-20",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "55567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; 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.