Cynthia Sue Latka, LLPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401006947 Issued in MI

Practice address

207 1St St
Jackson, MI 49201-2102

Phone

(517) 740-6433

NPI assigned

May 17, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Kathryn Miller PHD PCGroup PAC ID 0042289274, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Kathryn Miller PHD PC

  • Clinical Psychologist
  • Dearborn, MI
  • NPI 1467664813
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1558051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558051200000",
    "number": "1255997003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6341 BURNING TREE ST",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492019378",
            "telephone_number": "517-740-6433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 1ST ST",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492012102",
            "telephone_number": "517-740-6433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATKA",
        "first_name": "CYNTHIA",
        "middle_name": "SUE",
        "credential": "LLPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-17",
        "last_updated": "2019-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401006947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Larry E Jennings MD PC
• Kortani Larson
• Michele Laskey
• Lindsey Shae Lassila
• Katherine Ann Latendresse, DDS
• David Lester Latz, DDS
• Breanna Maria Lauinger
• Laura Putney LMSW LLC
• Raechelle Marie Laura, RN
• Koral Lavasseur

• Professional Counselor in Jackson, MI
• Providers in Jackson, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.