Active NPI
Latanya Shalon Booker
- Addiction (Substance Use Disorder) Counselor
- Rochester, NY
National Provider Identifier
1366094567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 246316281
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 246316281 | NY | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Action for a Better Community, Inc. | Past | 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.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Rochester, NY
- NPI 1891903787
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.