Individual provider Active NPI

Latasha M Thomas, LPC

  • Professional Counselor
  • Wyomissing, PA
National Provider Identifier
1013494418
Registry record updated Jul 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC009664 Issued in PA
Practice address
4 Wellington Blvd Ste 101
Wyomissing, PA 19610-1850
Phone
(484) 987-7116
Fax
(717) 208-7753
NPI assigned
Jul 27, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC009664 PA Primary

Addresses

Primary practice location

4 Wellington Blvd Ste 101
Wyomissing, PA 19610-1850

Mailing address

318 S Sterley St
Shillington, PA 19607-2527
Phone (484) 769-2279

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PC009664PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Zen Holistics Counseling & Wellness LLC Professional CurrentSince Feb 23, 2025 Accepting new patients
Advanced Counseling and Testing Solutions, LLC PastSince Jan 26, 2023 Accepting new patients

Locations

20 W Lancaster Ave
Ste 4
Shillington, PA 19607
Phone (484) 258-9331

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1532649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532649600000",
    "number": "1013494418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 S STERLEY ST",
            "city": "SHILLINGTON",
            "state": "PA",
            "postal_code": "196072527",
            "telephone_number": "484-769-2279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 WELLINGTON BLVD STE 101",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196101850",
            "telephone_number": "484-987-7116",
            "fax_number": "717-208-7753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "LATASHA",
        "middle_name": "M",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-27",
        "last_updated": "2018-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC009664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyomissing, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.