Individual provider Active NPI

Timothy William Latsko, LMFT, LPC, DOT-SAP

  • Marriage & Family Therapist
  • Williamsburg, VA
National Provider Identifier
1285606566
Registry record updated May 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
0717001186 Issued in VA
Practice address
101 Jib CT
Williamsburg, VA 23185-5281
Phone
(757) 208-0950
Fax
(757) 208-0950
NPI assigned
Feb 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2009

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0701003702 VA
Mental Health Counselor 101YM0800X 3786 SC
Marriage & Family Therapist 106H00000X 0717001186 VA Primary

Addresses

Primary practice location

101 Jib CT
Williamsburg, VA 23185-5281

Mailing address

101 Jib CT
Williamsburg, VA 23185-5281
Phone (757) 208-0950

Other identifiers 1

IdentifierTypeStateIssuer
1285606566MedicaidVA

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
0701003702VAMDMental Health Counselor
0717001186VAMDMarriage & Family Therapist
3786SCMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243036800000",
    "number": "1285606566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 JIB CT",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231855281",
            "telephone_number": "757-208-0950",
            "fax_number": "757-208-0950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 JIB CT",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231855281",
            "telephone_number": "757-208-0950",
            "fax_number": "757-208-0950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATSKO",
        "first_name": "TIMOTHY",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "LMFT, LPC, DOT-SAP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-02",
        "last_updated": "2009-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701003702",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "3786",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "VA",
            "license": "0717001186",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1285606566",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2009; 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.