Individual provider Active NPI

Robert Lock, L.P.C.

  • Professional Counselor
  • Jackson, MS
National Provider Identifier
1427460229
Registry record updated Aug 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1861 Issued in MS
Practice address
Hinds Behavioral Health Services 3450 Hwy 80 W
Jackson, MS 39209-4443
Phone
(601) 321-2400
Fax
(601) 985-5174
NPI assigned
May 28, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 1861 MS Primary

Addresses

Primary practice location

Hinds Behavioral Health Services 3450 Hwy 80 W
Jackson, MS 39209-4443

Mailing address

828 Bullrun Cir
Byram, MS 39272-4443
Phone (601) 519-1011

Other practice location 1

828 Bullrun Cir
Byram, MS 39272-4443
Phone (601) 519-1011

Other identifiers 1

IdentifierTypeStateIssuer
00018209MedicaidMS

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
1861MSMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1401235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564617600000",
    "number": "1427460229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "828 BULLRUN CIR",
            "city": "BYRAM",
            "state": "MS",
            "postal_code": "392724443",
            "telephone_number": "601-519-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HINDS BEHAVIORAL HEALTH SERVICES 3450 HWY 80 W",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392094443",
            "telephone_number": "601-321-2400",
            "fax_number": "601-985-5174"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "828 Bullrun Cir",
            "address_purpose": "LOCATION",
            "city": "Byram",
            "state": "MS",
            "postal_code": "392724443",
            "country_code": "US",
            "telephone_number": "601-519-1011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOCK",
        "first_name": "ROBERT",
        "credential": "L.P.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-28",
        "last_updated": "2019-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MS",
            "license": "1861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00018209",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2019; 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.