Individual provider Active NPI

Elisha M Latimer, LPC

  • Professional Counselor
  • Anderson, SC
National Provider Identifier
1134765613
Registry record updated Nov 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
7098 Issued in SC
Practice address
1214 N Main St Ste D
Anderson, SC 29621-4729
Phone
(864) 392-4966
Fax
(864) 835-8851
NPI assigned
Nov 20, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2022

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 7098 SC Primary

Addresses

Primary practice location

1214 N Main St Ste D
Anderson, SC 29621-4729

Mailing address

PO Box 3851
Anderson, SC 29622-3851
Phone (864) 392-4966

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
7098SCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
New Beginnings Counseling & Consulting Services, LLC CurrentSince Mar 26, 2023 Accepting new patients
New Foundations Children and Family Services, Inc. PastSince Nov 9, 2019 Accepting new patients
Connections Counseling Center LLC PastSince Nov 1, 2019 Accepting new patients

Locations

1214 N Main St
#D
Anderson, SC 29621
Phone (864) 392-4966

Organizations & group practices 3

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": "1574208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667260800000",
    "number": "1134765613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3851",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296223851",
            "telephone_number": "864-392-4966",
            "fax_number": "864-835-8851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1214 N MAIN ST STE D",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296214729",
            "telephone_number": "864-392-4966",
            "fax_number": "864-835-8851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATIMER",
        "first_name": "ELISHA",
        "middle_name": "M",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-20",
        "last_updated": "2022-11-01",
        "certification_date": "2022-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "7098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2022; 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.