Active NPI
Johnathan Latta, LIMHP
- Professional Counselor
- Omaha, NE
National Provider Identifier
1063103604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2669
- Practice address
- 9239 W Center Rd Ste 211
Omaha, NE 68124-1900 - Phone
- (402) 399-9305
- Fax
- (402) 397-3191
- NPI assigned
- May 16, 2023
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2669 | NE | Primary |
Addresses
Primary practice location
9239 W Center Rd Ste 211
Omaha, NE 68124-1900
Mailing address
9239 W Center Rd Ste 211
Omaha, NE 68124-1900
Phone (402) 399-9305
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9239 W Ctr Rd
Suite 211
Omaha, NE 68124-1900
Phone (402) 399-9305
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2669 | NE | MD | Mental Health Counselor |
| 2661 | NE | MD | Occupational Therapist |
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.
-
- Psychiatry Physician
- Omaha, NE
- NPI 1992781074
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701216000000",
"number": "1063103604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9239 W CENTER RD STE 211",
"city": "OMAHA",
"state": "NE",
"postal_code": "681241900",
"telephone_number": "402-399-9305",
"fax_number": "402-397-3191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9239 W CENTER RD STE 211",
"city": "OMAHA",
"state": "NE",
"postal_code": "681241900",
"telephone_number": "402-399-9305",
"fax_number": "402-397-3191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LATTA",
"first_name": "JOHNATHAN",
"credential": "LIMHP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-05-16",
"last_updated": "2023-11-29",
"certification_date": "2023-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NE",
"license": "2669",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.