LOCKETT ENTERPRISES, LLC (NPI# 1174927743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174927743 |
| Entity Type | Organization |
| Organization Name | LOCKETT ENTERPRISES, LLC |
| Practice Address |
230 W Wells St Suite 214 Milwaukee WI 53203-1866 |
| Practice Telephone | 4148398994 |
| Practice Fax Number | 4142233817 |
| Mailing Telephone | 4148398994 |
| Mailing Fax Number | 4142233817 |
| Enumeration Date | 2014-10-10 |
| Last Update Date | 2015-05-20 |
| Authorized Official Name | MR. OTIS LOCKETT JR. (PRESIDENT) |
| Authorized Official Telephone | 4148398994 |
| Authorized Official Credential | MS, LPC, CSAC, L |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
5052 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 39394200 | 05 |
| Street Address |
230 W WELLS ST SUITE 214 |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53203-1866 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245344340 | Wyonne C. Holland | Social Worker | 230 W Wells St, Milwaukee, WI 53203-1866 | 2006-08-18 |
| 1457759565 | Gladys Faye Dozier | Counselor | 230 W Wells St, Suite 312, Milwaukee, WI 53203-1866 | 2014-12-05 |
| 1093124083 | Child and Adult Psychotherapy Clinic, LLC | Social Worker | 230 W Wells St, Milwaukee, WI 53203-1866 | 2014-08-04 |
| 1447681168 | Lisa Mann | Counselor | 230 W Wells St, Milwaukee, WI 53203-1866 | 2013-12-05 |
| 1992140735 | Traci Gauthier | Counselor | 230 W Wells St, Suite 500, Milwaukee, WI 53203-1866 | 2013-05-07 |
| 1902241888 | Kurt Peterson | Counselor | 230 W Wells St, Room 500, Milwaukee, WI 53203-1866 | 2013-05-06 |
| 1639484900 | Deborah A Bent | Counselor | 230 W Wells St, Suite 500, Milwaukee, WI 53203-1866 | 2010-08-11 |
| 1982926903 | Susan M Williams | Counselor | 230 W Wells St, Suite 630, Milwaukee, WI 53203-1866 | 2010-02-17 |
| 1912161241 | Wings of Dove Counseling Service LLC | Social Worker | 230 W Wells St, Suite 309, Milwaukee, WI 53203-1866 | 2008-07-16 |
| 1821258286 | Ellen L. Klein | Psychologist | 230 W Wells St, Suite 504, Milwaukee, WI 53203-1866 | 2008-06-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013463272 | Kameela Jackson | Registered Nurse | 606 E Juneaue Ave. 511812, Milwaukee, WI 53203 | 2016-08-28 |
| 1528239928 | Christina Marie Sauber | Physical Therapy Assistant | 111 W. Michigan Street, Milwaukee, WI 53203 | 2008-03-13 |
| 1720273493 | Michelle Lynn Vogel | Speech-Language Pathologist | 111 West Michigan St, Prostep/extendicare Healthservices, Milwaukee, WI 53203 | 2007-09-06 |
| 1265572564 | Eye Care of Wisconsin, Inc | Health Maintenance Organization | 740 North Plankinton Ave, #730b, Milwaukee, WI 53203 | 2007-02-07 |
| 1073687349 | Riverwalk Psychotherapy Associates, LLC | Social Worker | 1110 N. Old World Third St., Suite 401, Milwaukee, WI 53203 | 2006-11-20 |
| 1144793423 | Carissa Deanna Basile | Behavioral Analyst | 525 N 6th St, Milwaukee, WI 53203 | 2019-01-09 |
| 1275975807 | Sandra Eiler | Counselor | 633 W Wisconsin Ave, Suite 1810, Milwaukee, WI 53203 | 2013-07-24 |
| 1154693331 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 826 N Plankinton Ave Ste 100, Milwaukee, WI 53203 | 2012-02-02 |
| 1821277310 | Rosalie C Mackay | Community Health Worker | 111 W Michigan St, Prostep/extendicare Health Services, Milwaukee, WI 53203 | 2007-10-31 |
| 1023131240 | Gina G Negrette | Psychiatry & Neurology | 820 N Plankinton Ave, Milwaukee, WI 53203 | 2007-04-10 |
| Find all providers in zip 53203 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508475963 | Anna Banwell | Counselor | 710 W Historic Mitchell St Apt 703, Milwaukee, WI 53204-3559 | 2020-07-30 |
| 1225658826 | Callie Barfield | Counselor | 9096 N Tennyson Dr, Milwaukee, WI 53217-1967 | 2020-04-23 |
| 1043849698 | Amanda Joann Degner | Counselor | 329 W National Ave Apt 2, Milwaukee, WI 53204-1702 | 2020-04-06 |
| 1467092320 | Christina Manolatos | Counselor | 3921 N Humboldt Blvd Apt 801, Milwaukee, WI 53212-1365 | 2020-01-08 |
| 1780235267 | Toni W Pharm | Counselor | 8018 W Capitol Dr Ste 206, Milwaukee, WI 53222-1906 | 2019-09-25 |
| 1407417983 | Damira Grady | Counselor | 11303 W Appleton Ln, Milwaukee, WI 53225-1200 | 2019-06-25 |
| 1265091664 | Drew David Dryssen | Counselor | 8800 W Bluemound Rd, Milwaukee, WI 53226-4626 | 2019-06-10 |
| 1013574409 | Patricia Michelle Carrington | Counselor | 1409 E Capitol Dr Ste 202, Milwaukee, WI 53211-1959 | 2019-05-22 |
| 1730647959 | Andrea Renee Zulkowski | Counselor | 3732 W Wisconsin Ave Ste 320, Milwaukee, WI 53208-3166 | 2019-03-06 |
| 1831662063 | Svenja Michela Rauchstaedt-schneider | Counselor | 5719 W Fountain Ave, Milwaukee, WI 53223-4227 | 2019-01-10 |
| Find all providers in MILWAUKEE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.