Active NPI
Jessica Lock, LMHC
- Mental Health Counselor
- Fort Lauderdale, FL
National Provider Identifier
1467145516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH21034
- Practice address
- 1050 SE 15TH St Apt 609
Fort Lauderdale, FL 33316-2135 - Phone
- (754) 214-0672
- NPI assigned
- Jun 2, 2023
- Last updated
- Jun 2, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH21034 | FL | Primary |
Addresses
Primary practice location
1050 SE 15TH St Apt 609
Fort Lauderdale, FL 33316-2135
Mailing address
1050 SE 15TH St Apt 609
Fort Lauderdale, FL 33316-2135
Phone (754) 214-0672
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 |
|---|---|---|---|
| MH21034 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685664000000",
"number": "1467145516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1050 SE 15TH ST APT 609",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333162135",
"telephone_number": "754-214-0672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 SE 15TH ST APT 609",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333162135",
"telephone_number": "754-214-0672"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOCK",
"first_name": "JESSICA",
"name_prefix": "Ms.",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-06-02",
"last_updated": "2023-06-02",
"certification_date": "2023-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH21034",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Lauderdale, FL
- Lloyd a Sipkin DDS PA
- Lmo US LLC (The Lead Generation)
- LNS Medical Supply LLC
- Elzbieta Lobacz-Kloosterman, PH.D.
- Eduardo R Locatelli, M.D., M.P.H.
- Carroll Wilcox Lockett, M.S. CCC-SLP
- Roman Lockshin, LMHC, MA, MBA
- Daniel Alexander Lodenquai, MBBS
- Gary Rocco Loffredo
- Logistic Solutions (Alpha Group Holdings LLC)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.