Lisa A Locke, B.S.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

210 Tacoma St
Grants Pass, OR 97526-9370

Phone

(541) 476-3302

NPI assigned

Mar 13, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

Practice roles

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/kairosnw/r4/

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.

• Kairos

  • Mental Health Counselor
  • Grants Pass, OR
  • NPI 1144651415
  NPD (past)
• Kairos Northwest

  • Mental Illness Community Based Residential Treatment Facility
  • Grants Pass, OR
  • NPI 1366865495
  NPD (past)

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

{
    "created_epoch": "1331596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331596800000",
    "number": "1548535339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 SW RAMSEY AVE",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975275500",
            "telephone_number": "541-956-4943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 TACOMA ST",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975269370",
            "telephone_number": "541-476-3302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCKE",
        "first_name": "LISA",
        "middle_name": "A",
        "credential": "B.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-13",
        "last_updated": "2012-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Living Waters Family Practice
• Randel Livingood
• Ashley Livingston
• Ellen W. Loan, PT
• Laila Lobo, M.D.
• Erica Locklear, QMHA
• Eric J Loeliger, MD
• Kayla Namiko Loffer, PT, DPT
• Brittanie Lee Logan
• Shelby Fox Logan, PA-C

• Mental Health Counselor in Grants Pass, OR
• Providers in Grants Pass, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2012; 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.