Active NPI
Shakila B Lattimore, MA,BSW, ADC, AADC-IP
- Addiction (Substance Use Disorder) Counselor
- Spartanburg, SC
National Provider Identifier
1033720412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 129 Dillon Dr
Spartanburg, SC 29307-2930 - Phone
- (864) 582-7588
- NPI assigned
- Aug 11, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary |
Addresses
Primary practice location
129 Dillon Dr
Spartanburg, SC 29307-2930
Mailing address
129 Dillon Dr
Spartanburg, SC 29307
Phone (864) 582-7588
Other practice location 1
201 W Montgomery St
Gaffney, SC 29341-1773
Phone (864) 487-2721
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | slattimore@tfcbh.org | Direct |
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 Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Forrester Center for Behavioral Health, Inc. | Addiction (Substance Use Disorder) | Current | Accepting new patients |
| Cherokee County Commission on Alcohol and Drug Abuse | Addiction (Substance Use Disorder) | Past | Accepting new patients |
Locations
129 Dillon Dr
Spartanburg, SC 29307
Phone (864) 582-7588
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.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Spartanburg, SC
- NPI 1457354839
Addiction (Substance Use Disorder)
-
- Community/Behavioral Health Agency
- Gaffney, SC
- NPI 1518965839
Addiction (Substance Use Disorder)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672704000000",
"number": "1033720412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "129 DILLON DR",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "29307",
"telephone_number": "864-582-7588",
"fax_number": "864-487-2764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "129 DILLON DR",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293072930",
"telephone_number": "864-582-7588"
}
],
"practiceLocations": [
{
"address_1": "201 W Montgomery St",
"address_purpose": "LOCATION",
"city": "Gaffney",
"state": "SC",
"postal_code": "293411773",
"country_code": "US",
"telephone_number": "864-487-2721",
"fax_number": "864-487-2764",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LATTIMORE",
"first_name": "SHAKILA",
"middle_name": "B",
"credential": "MA,BSW, ADC, AADC-IP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-11",
"last_updated": "2023-01-03",
"certification_date": "2022-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "slattimore@tfcbh.org",
"affiliation": "N",
"endpointDescription": "Email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "129 Dillon Dr",
"city": "Spartanburg",
"state": "SC",
"country_code": "US",
"postal_code": "29307",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Spartanburg, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.