Individual provider Active NPI

Shakila B Lattimore, MA,BSW, ADC, AADC-IP

  • Addiction (Substance Use Disorder) Counselor
  • Spartanburg, SC
National Provider Identifier
1033720412
Registry record updated Jan 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
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

Updated by the provider on Jan 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

OrganizationSpecialtyStatusNew patients
The Forrester Center for Behavioral Health, Inc. Addiction (Substance Use Disorder) CurrentSince Jan 8, 2023 Accepting new patients
Cherokee County Commission on Alcohol and Drug Abuse Addiction (Substance Use Disorder) PastSince Aug 1, 2020 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.

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.

Verify at the official NPI Registry.