Individual provider Active NPI

Latosha Ramos Lake, PSYD

  • Clinical Psychologist
  • Moore, OK
National Provider Identifier
1194145854
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1449 Issued in OK
Practice address
1201 Magnolia CT Ste 117
Moore, OK 73160-1433
Phone
(405) 309-1345
Fax
(866) 394-8572
NPI assigned
Apr 22, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 0005695 CO
Student in an Organized Health Care Education/Training Program 390200000X
Mental Health Counselor 101YM0800X
Clinical Psychologist 103TC0700X 1449 OK Primary

Addresses

Primary practice location

1201 Magnolia CT Ste 117
Moore, OK 73160-1433

Mailing address

1201 Magnolia CT Ste 117
Moore, OK 73160-1433
Phone (405) 309-1345

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
0005695COMDClinical Psychologist
1449OKMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Lightwork Psychological Services LLC Clinical Current Accepting new patients
Deni Foughty PH.D PLLC Past Accepting new patients

Locations

1201 Magnolia Ct
Ste 117
Moore, OK 73160
Phone (405) 221-9573

Organizations & group practices 2

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": "1398124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1194145854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 MAGNOLIA CT STE 117",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731601433",
            "telephone_number": "405-309-1345",
            "fax_number": "866-394-8572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 MAGNOLIA CT STE 117",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731601433",
            "telephone_number": "405-309-1345",
            "fax_number": "866-394-8572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMOS LAKE",
        "first_name": "LATOSHA",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-22",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "0005695",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OK",
            "license": "1449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moore, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2026; 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.