Individual provider Active NPI

Latanya Shalon Booker

  • Addiction (Substance Use Disorder) Counselor
  • Rochester, NY
National Provider Identifier
1366094567
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
246316281 Issued in NY
Practice address
33 Chestnut St
Rochester, NY 14604-2303
Phone
(585) 262-4300
NPI assigned
Jul 9, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Addiction (Substance Use Disorder) Counselor 101YA0400X 246316281 NY Primary

Addresses

Primary practice location

33 Chestnut St
Rochester, NY 14604-2303

Mailing address

33 Chestnut St FL 1
Rochester, NY 14604-2303
Phone (585) 262-4330

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address lbooker@abcinfo.org Action for a Better Community, Inc.
Direct Messaging Address lbooker@abcinfo.org Action for a Better Community, Inc.

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
246316281NYMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Action for a Better Community, Inc. PastSince Jun 11, 2021 Accepting new patients

Organizations & group practices 1

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": "1562630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1366094567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 CHESTNUT ST FL 1",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146042303",
            "telephone_number": "585-262-4330",
            "fax_number": "585-262-4826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 CHESTNUT ST",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146042303",
            "telephone_number": "585-262-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOKER",
        "first_name": "LATANYA",
        "middle_name": "SHALON",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-09",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "246316281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lbooker@abcinfo.org",
            "affiliation": "Y",
            "affiliationName": "Action for a Better Community, Inc.",
            "address_1": "33 Chestnut St",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146042303",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lbooker@abcinfo.org",
            "affiliation": "Y",
            "affiliationName": "Action for a Better Community, Inc.",
            "address_1": "33 Chestnut St",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146042303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.