Individual provider Active NPI

Latria G Rogers, LCPC, NCC

  • Professional Counselor
  • Upper Marlboro, MD
National Provider Identifier
1265718506
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC4154 Issued in MD
Practice address
10115 Prince PL Apt 403
Upper Marlboro, MD 20774-1105
Phone
(301) 808-9562
NPI assigned
Nov 1, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2026

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 LC4154 MD Primary

Addresses

Primary practice location

10115 Prince PL Apt 403
Upper Marlboro, MD 20774-1105

Mailing address

10115 Prince PL Apt 403
Upper Marlboro, MD 20774-1105
Phone (301) 808-9562

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240321000182 DC Practitioner - Mental Health Counselor 6709223100 Reassigns benefits to 2 organizations
I20240412003898 MD Practitioner - Mental Health Counselor 6709223100 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care Support Services Inc CurrentSince Dec 1, 2025 Accepting new patients
Community Wellness Outpatient Mental Health Center LLC CurrentSince Feb 5, 2024 Accepting new patients
Community Care Support Services Inc CurrentSince Dec 1, 2025 Accepting new patients
Lead by Example Behavial Health Services LLC Professional Current Accepting new patients
MCCD FL Psychiatry Services PA CurrentSince Apr 21, 2025 Accepting new patients
Mental Health Specialty Group PA Professional CurrentSince Aug 1, 2025 Accepting new patients

Locations

601 Pennsylvania Ave NW
Washington, DC 20004
Phone (202) 638-6942

3310 Eastern Ave
Baltimore, MD 21224
Phone (443) 708-5056

401 Post Office Rd
Ste 101
Waldorf, MD 20602
Phone (301) 613-1038

517 S Norwood St
Wallace, NC 28466
Phone (910) 285-5221

2800 Eisenhower Ave
Ste 220
Alexandria, VA 22314
Phone (540) 358-0423

Organizations & group practices 6

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": "1320105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784246400000",
    "number": "1265718506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10115 PRINCE PL APT 403",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207741105",
            "telephone_number": "301-808-9562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10115 PRINCE PL APT 403",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207741105",
            "telephone_number": "301-808-9562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "LATRIA",
        "middle_name": "G",
        "name_prefix": "Ms.",
        "credential": "LCPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-01",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC4154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "10115 Prince Pl Apt 403",
            "city": "Upper Marlboro",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207741105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Upper Marlboro, MD

Sources for this page

Verify at the official NPI Registry.