Active NPI
Latoya Mone Harris-Freeman, MS, CRC, LPC, LCAS
- Addiction (Substance Use Disorder) Counselor
- Douglasville, GA
National Provider Identifier
1083972566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 4867 Kim CT
Douglasville, GA 30135-2659 - Phone
- (252) 495-0410
- NPI assigned
- May 2, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | CRC #00114192 | NC | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 2153 | NC | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | C0232 | GA | |
| Mental Health Counselor | 101YM0800X | LPC009729 | GA | |
| Mental Health Counselor | 101YM0800X | 8904 | NC | |
| Mental Health Counselor | 101YM0800X | A8904 | NC | |
| Professional Counselor | 101YP2500X | LPC009729 | GA | |
| Professional Counselor | 101YP2500X | 8904 | NC | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | NC | Primary |
Addresses
Primary practice location
4867 Kim CT
Douglasville, GA 30135-2659
Mailing address
4867 Kim CT
Douglasville, GA 30135-2659
Phone (252) 495-0410
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CRC #00114192 | NC | MD | Counselor |
| C0232 | GA | MD | Addiction (Substance Use Disorder) Counselor |
| A8904 | NC | MD | Mental Health Counselor |
| LPC009729 | GA | MD | Professional Counselor |
| 8904 | NC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614902400000",
"number": "1083972566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4867 KIM CT",
"city": "DOUGLASVILLE",
"state": "GA",
"postal_code": "301352659",
"telephone_number": "252-495-0410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4867 KIM CT",
"city": "DOUGLASVILLE",
"state": "GA",
"postal_code": "301352659",
"telephone_number": "252-495-0410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS-FREEMAN",
"first_name": "LATOYA",
"middle_name": "MONE",
"name_prefix": "Ms.",
"credential": "MS, CRC, LPC, LCAS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-05-02",
"last_updated": "2021-03-05",
"certification_date": "2021-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NC",
"license": "CRC #00114192",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "2153",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "GA",
"license": "C0232",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "GA",
"license": "LPC009729",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "8904",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "A8904",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC009729",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "8904",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Douglasville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.