Amy Lock, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2021030533 Issued in MO

Practice address

207 Peach Way Ste 110
Columbia, MO 65203-4905

Phone

(573) 777-8775

NPI assigned

Oct 25, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Amy Kaiser Other name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Rebecca Wallace Counseling LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Columbia, MO
  • NPI 1982229498
  NPD

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

{
    "created_epoch": "1635120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635120000000",
    "number": "1487318689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 BARRYS BLUFF CT",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652037260",
            "telephone_number": "573-808-1194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 PEACH WAY STE 110",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652034905",
            "telephone_number": "573-777-8775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCK",
        "first_name": "AMY",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-25",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2021030533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "canyoncounseling@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Columbia",
            "address_1": "2501 Barrys Bluff Ct",
            "city": "Columbia",
            "state": "MO",
            "country_code": "US",
            "postal_code": "652037260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "KAISER",
            "credential": "LPC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Trellene R Lloyd, OWNER
• Natasha Renee Lobosky, PA
• Heather Ragsdale Lobough, CRNA
• Renee Elizabeth Locandro, RDMS, RVT
• Jessie Loch
• Emily Caroline Lock
• Erin McKenzie Locke, MSN, CPNP-PC
• Kevin J Lockett, CRNA
• Dennis E Lockette, CRNA
• Warren Lockette, MD

• Professional Counselor in Columbia, MO
• Providers in Columbia, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.

Verify at the official NPI Registry.