Active NPI
Latricia Renee Landrum
- Professional Counselor
- Montgomery, AL
National Provider Identifier
1386491777
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC05244
- Practice address
- 4171 Lomac St Ste F1127
Montgomery, AL 36106-2945 - Phone
- (251) 508-1902
- NPI assigned
- May 2, 2024
- Last updated
- May 2, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC05244 | AL | Primary |
Addresses
Primary practice location
4171 Lomac St Ste F1127
Montgomery, AL 36106-2945
Mailing address
5724 Arbor Station Rd Apt D
Montgomery, AL 36117-4664
Phone (251) 508-1902
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 |
|---|---|---|---|
| LPC05244 | AL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714608000000",
"number": "1386491777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5724 ARBOR STATION RD APT D",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361174664",
"telephone_number": "251-508-1902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4171 LOMAC ST STE F1127",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361062945",
"telephone_number": "251-508-1902"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANDRUM",
"first_name": "LATRICIA",
"middle_name": "RENEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-02",
"last_updated": "2024-05-02",
"certification_date": "2024-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AL",
"license": "LPC05244",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Montgomery, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.