Active NPI
Lateria Nicole Allen, M.ED., LPC, NCC
- Professional Counselor
- Albany, GA
National Provider Identifier
1033719075
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC014557
- Practice address
- 2302 Dawson Road
Suite 102
Albany, GA 31707 - Phone
- (229) 329-1580
- NPI assigned
- Oct 29, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC014557 | GA | |
| Professional Counselor | 101YP2500X | LPC014557 | GA | Primary |
Addresses
Primary practice location
2302 Dawson Road
Suite 102
Albany, GA 31707
Mailing address
PO Box 491
Leesburg, GA 31763-0491
Phone (229) 269-6821
Other names 1
- Mrs. Lateria Nicole Allen
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC014557 | GA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Empowerment Place Counseling, LLC | Current | Accepting new patients |
Locations
2302 Dawson Rd
Ste 102
Albany, GA 31707
Phone (229) 329-1580
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Albany, GA
- NPI 1962210930
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736726400000",
"number": "1033719075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 491",
"city": "LEESBURG",
"state": "GA",
"postal_code": "317630491",
"telephone_number": "229-269-6821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2302 DAWSON ROAD",
"address_2": "SUITE 102",
"city": "ALBANY",
"state": "GA",
"postal_code": "31707",
"telephone_number": "229-329-1580"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "LATERIA",
"middle_name": "NICOLE",
"name_prefix": "Mrs.",
"credential": "M.ED., LPC, NCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-29",
"last_updated": "2025-01-13",
"certification_date": "2025-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "GA",
"license": "LPC014557",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC014557",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LATERIA",
"last_name": "ALLEN",
"middle_name": "NICOLE",
"prefix": "MRS.",
"credential": "M. ED",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Albany, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.