Individual provider Active NPI

Alexis Lockett-Glover, M.S., LPC-IT, NCC

  • Professional Counselor
  • Glendale, WI
National Provider Identifier
1689471617
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
7189-226 Issued in WI
Practice address
5555 N Port Washington Rd Ste 300
Glendale, WI 53217-4928
Phone
(414) 962-6764
Fax
(414) 962-6765
NPI assigned
Feb 27, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2025

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 7189-226 WI Primary

Addresses

Primary practice location

5555 N Port Washington Rd Ste 300
Glendale, WI 53217-4928

Mailing address

6720 N Sidney PL Apt 204
Glendale, WI 53209-3252
Phone (414) 233-4026

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
7189-226WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore Psychotherapy Associates IV CurrentSince Mar 11, 2025 Accepting new patients

Locations

5555 N Port Washington Rd
Ste 300
Glendale, WI 53217
Phone (414) 962-6764

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1740614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740614400000",
    "number": "1689471617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6720 N SIDNEY PL APT 204",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532093252",
            "telephone_number": "414-233-4026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 N PORT WASHINGTON RD STE 300",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532174928",
            "telephone_number": "414-962-6764",
            "fax_number": "414-962-6765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCKETT-GLOVER",
        "first_name": "ALEXIS",
        "credential": "M.S., LPC-IT, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-27",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "7189-226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2025; 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.