Individual provider Active NPI

Laticha Lesane, LMHC

  • Mental Health Counselor
  • Rockville Centre, NY
National Provider Identifier
1083412910
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
015781-01 Issued in NY
Practice address
528 Merrick Rd # 1019
Rockville Centre, NY 11570-5445
Phone
(347) 755-2405
NPI assigned
Mar 5, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 015781-01 NY Primary

Addresses

Primary practice location

528 Merrick Rd # 1019
Rockville Centre, NY 11570-5445

Mailing address

528 Merrick Rd # 1019
Rockville Centre, NY 11570-5445
Phone (347) 450-4184

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260102001959 NY Practitioner - Mental Health Counselor 2961998521 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
015781-01NYMDMental Health Counselor
015781NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Mental Health CurrentSince Dec 9, 2025 Accepting new patients

Locations

165 Broadway
Fl 23
New York, NY 10006
Phone (202) 972-4964

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": "1741132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1083412910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "528 MERRICK RD # 1019",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115705445",
            "telephone_number": "347-450-4184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 MERRICK RD # 1019",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115705445",
            "telephone_number": "347-755-2405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESANE",
        "first_name": "LATICHA",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-05",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "015781-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville Centre, NY

Sources for this page

Verify at the official NPI Registry.