Active NPI
Kyle Lock, QMHS, CT
- Professional Counselor
- Cleveland, OH
National Provider Identifier
1972008472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C.2507481
- Practice address
- 780 E 185TH St
Cleveland, OH 44119-2174 - Phone
- (216) 681-9264
- NPI assigned
- Mar 27, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | C.2507481 | OH | Primary |
Addresses
Primary practice location
780 E 185TH St
Cleveland, OH 44119-2174
Mailing address
780 E 185TH St
Cleveland, OH 44119-2174
Phone (216) 681-9264
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C.2507481 | OH | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cornerstone Behavioral Health LLC | Mental Health | Current | Accepting new patients |
| Washington Wellness Institute, LLC | Mental Health | Current | Accepting new patients |
Locations
780 E 185th St
Cleveland, OH 44119
Phone (216) 302-4077
Organizations & group practices 2
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.
-
- Mental Health Counselor
- Lakewood, OH
- NPI 1700407517
-
- Mental Health Counselor
- Cleveland, OH
- NPI 1871155176
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757894400000",
"number": "1972008472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "780 E 185TH ST",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441192174",
"telephone_number": "216-681-9264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "780 E 185TH ST",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441192174",
"telephone_number": "216-681-9264"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOCK",
"first_name": "KYLE",
"credential": "QMHS, CT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-03-27",
"last_updated": "2025-09-15",
"certification_date": "2025-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "C.2507481",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.