Provider Demographics
NPI:1932107026
Name:LOCKINGER, JEANNIE M (LPC)
Entity Type:Individual
Prefix:MRS
First Name:JEANNIE
Middle Name:M
Last Name:LOCKINGER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1215 N AUGUSTA ST
Mailing Address - Street 2:
Mailing Address - City:STAUNTON
Mailing Address - State:VA
Mailing Address - Zip Code:24401-3203
Mailing Address - Country:US
Mailing Address - Phone:540-885-8841
Mailing Address - Fax:540-213-3789
Practice Address - Street 1:737 E MARKET ST
Practice Address - Street 2:BUILDING 4 SUITE D
Practice Address - City:HARRISONBURG
Practice Address - State:VA
Practice Address - Zip Code:22801-4265
Practice Address - Country:US
Practice Address - Phone:540-437-1857
Practice Address - Fax:540-437-9321
Is Sole Proprietor?:No
Enumeration Date:2005-07-12
Last Update Date:2008-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701003075101Y00000X, 101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA317540OtherANTHEM BCBS
VA083316OtherSENTARA/OPTIMA
VA4945166Medicaid