OTIS LOCKETT MSLPC CSAC ICS NPI 1134329238

NPI Information

NPI: 1134329238
Provider Name: OTIS LOCKETT,, MS,LPC, CSAC, ICS,
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
230 W WELLS ST
SUITE 214
MILWAUKEE, WI
ZIP 53203
Phone: (414) 839-8994
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Otis Lockett,, MS,LPC, CSAC, ICS, is a professional counselor in Milwaukee, WI. Otis Lockett,, MS,LPC, CSAC, ICS, NPI is 1134329238. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

230 W WELLS ST
SUITE 214
MILWAUKEE, WI
ZIP 53203-866
Phone: (414) 839-8994
Fax: (414) 291-6407

The enumeration date for this NPI number is 7/18/2007 and was last updated on 10/10/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	1661	WISCONSIN	No
2	101YP2500X	Counselor	Professional			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	39394200	MEDICAID	WISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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