Individual provider Active NPI

Latanya Joaniece Thomas, LCADC

  • Addiction (Substance Use Disorder) Counselor
  • Cherry Hill, NJ
National Provider Identifier
1366165649
Registry record updated Sep 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
37LC00358100 Issued in NJ
Practice address
761 Cuthbert Blvd
Cherry Hill, NJ 08002-3417
Phone
(856) 890-9449
NPI assigned
Sep 22, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 37LC00358100 NJ Primary

Addresses

Primary practice location

761 Cuthbert Blvd
Cherry Hill, NJ 08002-3417

Mailing address

761 Cuthbert Blvd
Cherry Hill, NJ 08002-3417
Phone (267) 259-3759

Other practice location 1

812 Quail Rd
Evesham, NJ 08053-5008
Phone (267) 259-3759

Other names 1

  • Latanya Joaniece Thomas Professional name

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
37LC00358100NJMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
CMC Department of Medicine Group PA PastSince Sep 25, 2022 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": "1663804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663804800000",
    "number": "1366165649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "761 CUTHBERT BLVD",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080023417",
            "telephone_number": "267-259-3759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "761 CUTHBERT BLVD",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080023417",
            "telephone_number": "856-890-9449"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "812 Quail Rd",
            "address_purpose": "LOCATION",
            "city": "Evesham",
            "state": "NJ",
            "postal_code": "080535008",
            "country_code": "US",
            "telephone_number": "267-259-3759",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "LATANYA",
        "middle_name": "JOANIECE",
        "credential": "LCADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-22",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00358100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LATANYA",
            "last_name": "THOMAS",
            "middle_name": "JOANIECE",
            "credential": "MA,LCADC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Cherry Hill, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2022; 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.