Individual provider Active NPI

Jatara Latoi Mason, LMHC

  • Mental Health Counselor
  • West Palm Beach, FL
National Provider Identifier
1265926927
Registry record updated Jun 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH16019 Issued in FL
Practice address
1546 40TH St
West Palm Beach, FL 33407-3638
Phone
(561) 543-3783
NPI assigned
Jun 18, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH16019 FL Primary

Addresses

Primary practice location

1546 40TH St
West Palm Beach, FL 33407-3638

Mailing address

640 Clematis St # 3853
West Palm Beach, FL 33401-5306
Phone (561) 543-3783

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250522002423 GA Practitioner - Mental Health Counselor 3577082510 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH16019FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Middle Flint Area Community Service Board CurrentSince Apr 23, 2025 Accepting new patients
Middle Flint Area Community Service Board CurrentSince Apr 23, 2025 Accepting new patients
Middle Flint Area Community Service Board Current Accepting new patients

Locations

415 N Jackson St
Americus, GA 31709
Phone (229) 815-5454

410 E Church St
Fort Valley, GA 31030
Phone (478) 662-1421

940 GA Highway 96
Ste A
Warner Robins, GA 31088
Phone (478) 988-7100

Organizations & group practices 3

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": "1529280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529280000000",
    "number": "1265926927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 CLEMATIS ST # 3853",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334015306",
            "telephone_number": "561-543-3783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1546 40TH ST",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334073638",
            "telephone_number": "561-543-3783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASON",
        "first_name": "JATARA",
        "middle_name": "LATOI",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-18",
        "last_updated": "2018-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH16019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.