Lisa Locke

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

0717000990 Issued in VA

Practice address

6801 Whittier Ave Ste 300
MC Lean, VA 22101-4549

Phone

(703) 734-0787

Fax

(703) 734-2735

NPI assigned

Feb 22, 2017

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

Other names 1

• Lisa Locke Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Commonwealth Psychological Associates, PLC

  • Clinical Psychologist
  • MC Lean, VA
  • NPI 1851830939

  Marriage & Family Therapist

  NPD (past)

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

{
    "created_epoch": "1487721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487721600000",
    "number": "1891234977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 WHITTIER AVE STE 300",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221014549",
            "telephone_number": "703-734-0787",
            "fax_number": "703-734-2735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 WHITTIER AVE STE 300",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221014549",
            "telephone_number": "703-734-0787",
            "fax_number": "703-734-2735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCKE",
        "first_name": "LISA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-22",
        "last_updated": "2017-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "VA",
            "license": "0717000990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "LOCKE",
            "credential": "MS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Gabrielle Lipson
• Viola Lis
• Danielle Juliette Lisella, M.S.
• Fei Liu
• Joanne Jamie Liu, MD
• Stephanie Tyler Locuson, RBT
• Tiffany Loe, PA
• Brielle Taylor Loefflad
• Jessica Loeser
• Stephanie Logan, LCSW

• Marriage & Family Therapist in MC Lean, VA
• Providers in MC Lean, VA by specialty
• Marriage & Family Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.