Active NPI
Latrisha S. Stewart
- Addiction (Substance Use Disorder) Counselor
- Long Beach, CA
National Provider Identifier
1073026738
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 2120 W Williams St Unit 31
Long Beach, CA 90810-3636 - Phone
- (562) 388-8118
- Fax
- (562) 388-8117
- NPI assigned
- Nov 15, 2017
- Last updated
- Mar 17, 2018
- 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 | CA | Primary |
Addresses
Primary practice location
2120 W Williams St Unit 31
Long Beach, CA 90810-3636
Mailing address
2120 W Williams St Unit 31
Long Beach, CA 90810-3636
Phone (562) 388-8118
Other practice location 1
2120 W Williams St Unit 31
Long Beach, CA 90810-3636
Phone (562) 388-8118
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Los Angeles County Department of Public Health | Current | Accepting new patients |
Interoperability endpoints
- latishastewart-changingspirits@lacsapc.netsmartdirect.net
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Public Health or Welfare Agency
- Alhambra, CA
- NPI 1700090834
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1073026738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2120 W WILLIAMS ST UNIT 31",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908103636",
"telephone_number": "562-388-8118",
"fax_number": "562-388-8118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2120 W WILLIAMS ST UNIT 31",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908103636",
"telephone_number": "562-388-8118",
"fax_number": "562-388-8117"
}
],
"practiceLocations": [
{
"address_1": "2120 W Williams St Unit 31",
"address_purpose": "LOCATION",
"city": "Long Beach",
"state": "CA",
"postal_code": "908103636",
"country_code": "US",
"telephone_number": "562-388-8118",
"fax_number": "562-388-8117",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STEWART",
"first_name": "LATRISHA",
"middle_name": "S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-11-15",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.