Active NPI
Latasha Benson-Lee
- Case Manager/Care Coordinator
- Lake Charles, LA
National Provider Identifier
1396252896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 1634 Ryan St
Lake Charles, LA 70601-5949 - Phone
- (337) 602-6391
- Fax
- (337) 602-6392
- NPI assigned
- Jan 5, 2018
- Last updated
- Aug 1, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Mental Health Counselor | 101YM0800X | |||
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
1634 Ryan St
Lake Charles, LA 70601-5949
Mailing address
151 Andre Martin Blvd
Opelousas, LA 70570-8909
Other practice location 1
151 Andre Martin Blvd
Opelousas, LA 70570
Phone (337) 739-9068
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kingdom Expressions LLC | Mental Health | Current | Accepting new patients |
Locations
1634 Ryan St
Lake Charles, LA 70601
Phone (337) 508-9023
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Lake Charles, LA
- NPI 1346785367
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722470400000",
"number": "1396252896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "151 ANDRE MARTIN BLVD",
"city": "OPELOUSAS",
"state": "LA",
"postal_code": "705708909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1634 RYAN ST",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706015949",
"telephone_number": "337-602-6391",
"fax_number": "337-602-6392"
}
],
"practiceLocations": [
{
"address_1": "151 Andre Martin Blvd",
"address_purpose": "LOCATION",
"city": "Opelousas",
"state": "LA",
"postal_code": "70570",
"country_code": "US",
"telephone_number": "337-739-9068",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BENSON-LEE",
"first_name": "LATASHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-01-05",
"last_updated": "2024-08-01",
"certification_date": "2024-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Charles, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.