Individual provider Active NPI

Latesha Sabree Edmerson, LCPC

  • Professional Counselor
  • Baltimore, MD
National Provider Identifier
1093444598
Registry record updated May 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC15064 Issued in MD
Practice address
2300 Garrison Blvd Ste 104
Baltimore, MD 21216-2308
Phone
(410) 233-6200
Fax
(410) 233-6201
NPI assigned
Jun 9, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LC15064 MD Primary

Addresses

Primary practice location

2300 Garrison Blvd Ste 104
Baltimore, MD 21216-2308

Mailing address

223 Rodgers Forge Rd Apt Ta
Baltimore, MD 21212-5302
Phone (973) 699-5233

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240517003369 MD Practitioner - Mental Health Counselor 6608217831 Reassigns benefits to 2 organizations
I20240829001391 DC Practitioner - Mental Health Counselor 6608217831 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrative Behavioral Health,LLCGroup PAC ID 2961833884, 4 clinicians

Practice addresses (Care Compare)

120 Sister Pierre Dr
Suite 205
Towson, MD 21204-7525
Phone (443) 288-0098

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Total Health Care Inc. CurrentSince Apr 19, 2024 Accepting new patients
Grow Healthcare Group PA Professional CurrentSince Jul 16, 2024 Accepting new patients
Total Health Care Inc CurrentSince Apr 19, 2024 Accepting new patients
Integrative Behavioral Health,LLC CurrentSince Aug 15, 2025 Accepting new patients
Total Health Care Inc Current Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

1501 W Saratoga St
Baltimore, MD 21223
Phone (410) 383-7197

1111 Washington Blvd
Baltimore, MD 21230
Phone (410) 783-1859

2400 Kirk Ave
Baltimore, MD 21218
Phone (410) 243-1800

2519 Maryland Ave
Ste 100
Baltimore, MD 21218
Phone (443) 288-0098

1501 Division St
Baltimore, MD 21217
Phone (410) 735-5390

2288 Blue Water Blvd
Ste 440
Odenton, MD 21113
Phone (410) 674-7403

8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GJFJBD

Organizations & group practices 5

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": "1654732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715126400000",
    "number": "1093444598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 RODGERS FORGE RD APT TA",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212125302",
            "telephone_number": "973-699-5233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 GARRISON BLVD STE 104",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212162308",
            "telephone_number": "410-233-6200",
            "fax_number": "410-233-6201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDMERSON",
        "first_name": "LATESHA",
        "middle_name": "SABREE",
        "name_prefix": "Ms.",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-09",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC15064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.