Individual provider Active NPI

Ericka Latham, LPC

  • Counselor
  • Colorado Springs, CO
National Provider Identifier
1134866874
Registry record updated May 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LPC.0018302 Issued in CO
Practice address
11183 Fossil Dust Dr
Colorado Springs, CO 80908-5267
Phone
(719) 651-5085
NPI assigned
May 15, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LPC.0018302 CO Primary

Addresses

Primary practice location

11183 Fossil Dust Dr
Colorado Springs, CO 80908-5267

Mailing address

11183 Fossil Dust Dr
Colorado Springs, CO 80908-5267
Phone (719) 651-5085

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
LPC.0018302COMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Be the Change Counseling Services, LLC Professional CurrentSince Nov 3, 2024 Accepting new patients

Locations

6290 Lehman Dr
Ste 2022
Colorado Springs, CO 80918
Phone (719) 401-2411

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": "1652572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652572800000",
    "number": "1134866874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11183 FOSSIL DUST DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809085267",
            "telephone_number": "719-651-5085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11183 FOSSIL DUST DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809085267",
            "telephone_number": "719-651-5085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATHAM",
        "first_name": "ERICKA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-15",
        "last_updated": "2022-05-15",
        "certification_date": "2022-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CO",
            "license": "LPC.0018302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

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