Individual provider Active NPI

Latasha L Whitley, M.A. LPC, ATR

  • Professional Counselor
  • Chicago, IL
National Provider Identifier
1174293625
Registry record updated Sep 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
178013476 Issued in IL
Practice address
7601 S Kostner Ave
Chicago, IL 60652-1126
Phone
(708) 931-8122
NPI assigned
Sep 16, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2021

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 178013476 IL Primary

Addresses

Primary practice location

7601 S Kostner Ave
Chicago, IL 60652-1126

Mailing address

7601 S Kostner Ave
Chicago, IL 60652-1126
Phone (708) 931-8122

Other names 1

  • Latasha L Stratton Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Myevolv Health Information Exchange (HIE)

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 Arts

State licenses

LicenseStateTypeSpecialty
178013476ILMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1631750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631750400000",
    "number": "1174293625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7601 S KOSTNER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606521126",
            "telephone_number": "708-931-8122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7601 S KOSTNER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606521126",
            "telephone_number": "708-931-8122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITLEY",
        "first_name": "LATASHA",
        "middle_name": "L",
        "credential": "M.A. LPC, ATR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-16",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178013476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Myevolv",
            "affiliation": "N",
            "endpointDescription": "Confidential electronic system",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Electronic records",
            "address_1": "7601 S Kostner Ave",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606521126",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LATASHA",
            "last_name": "STRATTON",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.

Verify at the official NPI Registry.