Amanda Lockerby, MA, NCC, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC015504 Issued in PA

Practice address

525 S 4TH St Ste 471
Philadelphia, PA 19147-1582

Phone

(267) 861-3685

NPI assigned

Mar 23, 2023

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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.

• Equilibria Mental Health Services

  • Community/Behavioral Health Agency
  • Philadelphia, PA
  • NPI 1225792872
  NPD
• Equilibria Psychological and Consultation Services, LLC

  • Clinical Psychologist
  • Philadelphia, PA
  • NPI 1356454045
  NPD

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

{
    "created_epoch": "1679529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686787200000",
    "number": "1700589348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4512 TOLBUT ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191361418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 S 4TH ST STE 471",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191471582",
            "telephone_number": "267-861-3685"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 Cambria Ave Ste 132",
            "address_purpose": "LOCATION",
            "city": "Bensalem",
            "state": "PA",
            "postal_code": "190207213",
            "country_code": "US",
            "telephone_number": "215-650-7790",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOCKERBY",
        "first_name": "AMANDA",
        "credential": "MA, NCC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-23",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC015504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Lockard, MD
• Kayla Samantha Lockard, CRNP
• Devika Locke
• Rashaan J Locke
• Roberta Sue Locke, MSW,LSW,BCD
• Teahna Lockhart, LSW
• Justin Lawrence Lockman, M.D.
• Haley Lockstein, DMD
• Amy C Lockwood
• Brielle Lockwood

• Professional Counselor in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.

Verify at the official NPI Registry.