Individual provider Active NPI

Bonnie O Lockwood, LPC

  • Mental Health Counselor
  • Cleveland, GA
National Provider Identifier
1972516276
Registry record updated May 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC002541 Issued in GA
Practice address
1988 Tom Bell Rd
Cleveland, GA 30528-7075
Phone
(706) 348-8674
Fax
(706) 348-8676
NPI assigned
Aug 15, 2006
Last updated
May 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC002541 GA Primary

Addresses

Primary practice location

1988 Tom Bell Rd
Cleveland, GA 30528-7075

Mailing address

1988 Tom Bell Rd
Cleveland, GA 30528-7075
Phone (706) 348-8674

Other identifiers 1

IdentifierTypeStateIssuer
582379283OtherGATAX ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20240530000206 GA Practitioner - Mental Health Counselor 0749622215 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstones Counseling Center CurrentSince Apr 14, 2024 Accepting new patients

Locations

1988 Tom Bell Rd
Cleveland, GA 30528
Phone (706) 348-8674

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": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746144000000",
    "number": "1972516276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1988 TOM BELL RD",
            "city": "CLEVELAND",
            "state": "GA",
            "postal_code": "305287075",
            "telephone_number": "706-348-8674",
            "fax_number": "706-348-8676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1988 TOM BELL RD",
            "city": "CLEVELAND",
            "state": "GA",
            "postal_code": "305287075",
            "telephone_number": "706-348-8674",
            "fax_number": "706-348-8676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCKWOOD",
        "first_name": "BONNIE",
        "middle_name": "O",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-15",
        "last_updated": "2025-05-02",
        "certification_date": "2025-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC002541",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "582379283",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, GA

Sources for this page

Verify at the official NPI Registry.