Active NPI
Latanya D. Jara
- Mental Health Counselor
- Grand Rapids, MI
National Provider Identifier
1225940901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 6451025377
- Practice address
- 330 E Beltline Ave NE Ste 3
Grand Rapids, MI 49506-1267 - Phone
- (616) 366-7289
- NPI assigned
- Sep 18, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 6451025377 | MI | Primary |
Addresses
Primary practice location
330 E Beltline Ave NE Ste 3
Grand Rapids, MI 49506-1267
Mailing address
PO Box 224
Comstock Park, MI 49321-0224
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789689600000",
"number": "1225940901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 224",
"city": "COMSTOCK PARK",
"state": "MI",
"postal_code": "493210224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 E BELTLINE AVE NE STE 3",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495061267",
"telephone_number": "616-366-7289"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JARA",
"first_name": "LATANYA",
"middle_name": "D.",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-09-18",
"last_updated": "2026-09-18",
"certification_date": "2026-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "MI",
"license": "6451025377",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.