Individual provider Active NPI

Latika Nicole Washington, CSAC, ICS, LPC-IT

  • Addiction (Substance Use Disorder) Counselor
  • Milwaukee, WI
National Provider Identifier
1073844858
Registry record updated Nov 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Practice address
2436 N 50TH St
Milwaukee, WI 53210-2814
Phone
(414) 445-1400
NPI assigned
Jan 19, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 1606-226 WI
Addiction (Substance Use Disorder) Counselor 101YA0400X Primary

Addresses

Primary practice location

2436 N 50TH St
Milwaukee, WI 53210-2814

Mailing address

1337 N 30TH St
Milwaukee, WI 53208-2420
Phone (414) 698-1150

Other practice location 1

2222 N Mayfair Rd Ste 120
Milwaukee, WI 53226-2262
Phone (414) 394-5517

Other identifiers 1

IdentifierTypeStateIssuer
1073844858MedicaidWI

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

State licenses

LicenseStateTypeSpecialty
1606-226WIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Different Horizons Behavioral Health Services LLC Mental Health CurrentSince Nov 22, 2020 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1263859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605657600000",
    "number": "1073844858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1337 N 30TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532082420",
            "telephone_number": "414-698-1150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2436 N 50TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532102814",
            "telephone_number": "414-445-1400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2222 N Mayfair Rd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532262262",
            "country_code": "US",
            "telephone_number": "414-394-5517",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WASHINGTON",
        "first_name": "LATIKA",
        "middle_name": "NICOLE",
        "name_prefix": "Miss",
        "credential": "CSAC, ICS, LPC-IT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-19",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "1606-226",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1073844858",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2020; 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.