The Mobile Office Therapist LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

THE MOBILE OFFICE THERAPIST LLC

Practice address

107 Carmel St
New Haven, CT 06511-3103

Phone

(800) 745-6724

NPI assigned

Nov 9, 2021

Organization subpart

No

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

Authorized official

Name

Latreece Mayes-SantiagoNPI 1265928022

Title

LPC

Phone

(800) 745-6724

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Latreece M Mayes-Santiago, MS

  • Professional Counselor
  • New Haven, CT
  • NPI 1265928022
  NPD Authorized official

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

{
    "created_epoch": "1636416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636934400000",
    "number": "1366108961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 CARMEL ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065113103",
            "telephone_number": "800-745-6724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 CARMEL ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065113103",
            "telephone_number": "800-745-6724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MOBILE OFFICE THERAPIST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-09",
        "last_updated": "2021-11-15",
        "certification_date": "2021-11-15",
        "status": "A",
        "authorized_official_last_name": "MAYES-SANTIAGO",
        "authorized_official_first_name": "LATREECE",
        "authorized_official_title_or_position": "LPC",
        "authorized_official_telephone_number": "800-745-6724"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in New Haven, CT
• Providers in New Haven, CT by specialty
• Professional Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2021; 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.