1932107026 NPI number — MRS. JEANNIE M LOCKINGER LPC

Table of content: MRS. JEANNIE M LOCKINGER LPC (NPI 1932107026)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1932107026 NPI number — MRS. JEANNIE M LOCKINGER LPC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LOCKINGER
Provider First Name:
JEANNIE
Provider Middle Name:
M
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
LPC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1932107026
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/27/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1215 N AUGUSTA ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
STAUNTON
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
24401-3203
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
540-885-8841
Provider Business Mailing Address Fax Number:
540-213-3789

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
737 E MARKET ST
Provider Second Line Business Practice Location Address:
BUILDING 4 SUITE D
Provider Business Practice Location Address City Name:
HARRISONBURG
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
22801-4265
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
540-437-1857
Provider Business Practice Location Address Fax Number:
540-437-9321
Provider Enumeration Date:
07/12/2005

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101Y00000X , with the licence number:  0701003075 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 101YM0800X , with the licence number: 0701003075 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 101YP2500X , with the licence number: 0701003075 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 317540 . This is a "ANTHEM BCBS" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 4945166 , issued by the state of ( VA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 083316 . This is a "SENTARA/OPTIMA" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".