Active NPI
Latasha Quenshay Ursin
- Counselor
- Orlando, FL
National Provider Identifier
1396381455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- W422563
- Practice address
- 1277 N Semoran Blvd Ste 117
Orlando, FL 32807-3574 - Phone
- (800) 921-0442
- Fax
- (877) 725-4150
- NPI assigned
- Nov 25, 2019
- Last updated
- Nov 25, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | W422563 | FL | Primary |
Addresses
Primary practice location
1277 N Semoran Blvd Ste 117
Orlando, FL 32807-3574
Mailing address
23 Willow Dr
Orlando, FL 32807-3219
Phone (321) 314-2892
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 |
|---|---|---|---|
| W422563 | FL | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574640000000",
"number": "1396381455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 WILLOW DR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328073219",
"telephone_number": "321-314-2892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1277 N SEMORAN BLVD STE 117",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328073574",
"telephone_number": "800-921-0442",
"fax_number": "877-725-4150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "URSIN",
"first_name": "LATASHA",
"middle_name": "QUENSHAY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-11-25",
"last_updated": "2019-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "FL",
"license": "W422563",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.