J. Locke Lis

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

16 Center St Ste 517
Northampton, MA 01060-3031

Phone

(413) 636-3829

NPI assigned

Sep 13, 2023

Last updated

Sep 13, 2023By the provider in NPPES

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

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

• Leaves of Change Counseling LLC

  • Mental Health Counselor
  • Northampton, MA
  • NPI 1912568486
  NPD

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

{
    "created_epoch": "1694563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694563200000",
    "number": "1811774854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 CENTER ST STE 517",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010603031",
            "telephone_number": "413-636-3829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 CENTER ST STE 517",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010603031",
            "telephone_number": "413-636-3829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCKE LIS",
        "first_name": "J.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-13",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catrin Mair Lloyd-Bollard, MS
• Lmwall, Licsw, Cadc-II, LLC
• Farnsworth Lobenstine, LICSW
• Krysten Ella Lobisch
• Roxanne Lock, LCSW
• Rachel Locke, LICSW
• Margaret Loconsolo
• Gretchen E Loebel, MD
• Nancy Logan, P.A.
• Ricky Jermaine Logan

• Social Worker in Northampton, MA
• Providers in Northampton, MA by specialty
• Social Worker in Massachusetts

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