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1689471617 NPI number — ALEXIS LOCKETT-GLOVER M.S., LPC-IT, NCC

NPI Number: 1689471617
Health Care Provider/Practitioner: ALEXIS LOCKETT-GLOVER M.S., LPC-IT, NCC

Information about “1689471617” NPI (ALEXIS LOCKETT-GLOVER M.S., LPC-IT, NCC) exists in 1689471617 in HTML format HTML  |  1689471617 in plain Text format TXT  |  1689471617 in PDF (Portable Document Format) PDF  |  1689471617 in an XML format XML  formats.

NPI Number : 1689471617 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1689471617",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LOCKETT-GLOVER",
    "FirstName": "ALEXIS",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "M.S., LPC-IT, NCC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "6720 N SIDNEY PL APT 204",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "GLENDALE",
    "MailingAddressStateName": "WI",
    "MailingAddressPostalCode": "53209-3252",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "414-233-4026",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "5555 N PORT WASHINGTON RD STE 300",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "GLENDALE",
    "PracticeLocationAddressStateName": "WI",
    "PracticeLocationAddressPostalCode": "53217-4928",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "414-962-6764",
    "PracticeLocationAddressFaxNumber": "414-962-6765",
    "EnumerationDate": "02/27/2025",
    "LastUpdateDate": "02/27/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "101YP2500X",
        "TaxonomyName": "Professional Counselor",
        "LicenseNumber": "7189-226",
        "LicenseNumberStateCode": "WI",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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