Individual provider Active NPI

Susan L Lockard, NCC/LPC

  • Professional Counselor
  • Altoona, PA
National Provider Identifier
1699390906
Registry record updated Jun 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
1216 Pleasant Valley Blvd Ste 208
Altoona, PA 16602-4761
Phone
(814) 952-8211
NPI assigned
Jun 11, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2023

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 Primary

Addresses

Primary practice location

1216 Pleasant Valley Blvd Ste 208
Altoona, PA 16602-4761

Mailing address

3314 Sylvan Heights Dr
Hollidaysburg, PA 16648-2832
Phone (814) 952-8211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240813004473 PA Practitioner - Mental Health Counselor 5991243552 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Vibrant Wellness, LLC Professional CurrentSince Jul 19, 2024 Accepting new patients

Locations

1216 Pleasant Valley Blvd
Ste 208
Altoona, PA 16602
Phone (814) 312-3874

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1591833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686528000000",
    "number": "1699390906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3314 SYLVAN HEIGHTS DR",
            "city": "HOLLIDAYSBURG",
            "state": "PA",
            "postal_code": "166482832",
            "telephone_number": "814-952-8211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1216 PLEASANT VALLEY BLVD STE 208",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166024761",
            "telephone_number": "814-952-8211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCKARD",
        "first_name": "SUSAN",
        "middle_name": "L",
        "credential": "NCC/LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-11",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altoona, PA

Sources for this page

Verify at the official NPI Registry.