Latisha Wilson

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

139277 Issued in IA

Practice address

1527 Albia Rd
Ottumwa, IA 52501-3907

Phone

(641) 682-8772

NPI assigned

Aug 11, 2026

Last updated

Aug 11, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Southern Iowa Mental Health Center

  dba Southern Iowa Mental Health CCBHC

  • Community/Behavioral Health Agency
  • Ottumwa, IA
  • NPI 1457178428
  NPD (past)
• Southern Iowa Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ottumwa, IA
  • NPI 1659353670
  NPD (past)

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

{
    "created_epoch": "1786406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1043135056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 N GREEN ST",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "525012611",
            "telephone_number": "641-980-0521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1527 ALBIA RD",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "525013907",
            "telephone_number": "641-682-8772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "LATISHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-11",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "139277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Rae Whitman, ARNP
• Williamson Dental
• Thomas C Williamson, DDS
• Cynthia Lynn Wilson, MAA
• John David Wilson, MD
• Shania Wilz, PHARMD
• Claire Wofford, LMSW
• Adria Wolver, RPH
• Dawn Woods, CADC
• Richard Worsham

• Mental Health Counselor in Ottumwa, IA
• Providers in Ottumwa, IA by specialty
• Mental Health Counselor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; 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.