Sherry Ann Latham, PHD LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

01266 Issued in TX

Practice address

1017 N Main Ave
Suite 204
San Antonio, TX 78212-4723

Phone

(210) 212-8285

Fax

(210) 212-8229

NPI assigned

Jun 22, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Sherry Ann Burke Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221436800000",
    "number": "1104862333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15276",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782128476",
            "telephone_number": "210-212-8285",
            "fax_number": "210-212-8229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 N MAIN AVE",
            "address_2": "SUITE 204",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782124723",
            "telephone_number": "210-212-8285",
            "fax_number": "210-212-8229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATHAM",
        "first_name": "SHERRY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "PHD  LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-22",
        "last_updated": "2008-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "01266",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN HEALTH",
            "identifier": "278850000",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4190LC",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "026240401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHERRY",
            "last_name": "BURKE",
            "middle_name": "ANN",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Paula Jeanne Latham Phillips, MD
• Alyssa Latham, M.A., BCBA, LBA
• James Robert Latham II, LPC
• Nichelle Latham, MS, LPC
• Shanice Latham
• Crystal Amy Garza Lathe, BSN, RN-CMSRN
• Michael Lathe
• Kate I. Lathrop, M.D.
• Golshan Latifiyaghin, MD
• Ashley Latimer

• Professional Counselor in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2008; 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.