Active NPI
Latanya Nicole Cobb, LCPC-S
- Mental Health Counselor
- Owings Mills, MD
National Provider Identifier
1396907192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LC5241
- Practice address
- 9921 Reisterstown Rd Ste 2F
Owings Mills, MD 21117 - Phone
- (443) 826-9580
- NPI assigned
- Jul 2, 2008
- 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 Counselor | 101YM0800X | LGP3645 | MD | |
| Professional Counselor | 101YP2500X | LC5241 | MD | |
| Mental Health Counselor | 101YM0800X | LC5241 | MD | Primary |
Addresses
Primary practice location
9921 Reisterstown Rd Ste 2F
Owings Mills, MD 21117
Mailing address
9921 Reisterstown Rd Ste 2F
Owings Mills, MD 21117-3966
Phone (443) 826-9580
Other practice location 1
2 Deveraux Ct Apt 204
Baltimore, MD 21207-2228
Phone (433) 200-3171
Other practice location 2
2 Deveraux Ct Apt 204
Baltimore, MD 21207-2228
Phone (433) 200-3171
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2341693 | Medicaid | OH | |
| 092807100 | Medicaid | MD |
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 |
|---|---|---|---|
| LC5241 | MD | MD | Mental Health Counselor |
| LGP3645 | MD | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Illuminating You Therapeutic Services, LLC | Mental Health | Current | 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.
-
- Mental Health Counselor
- Baltimore, MD
- NPI 1285380949
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531526400000",
"number": "1396907192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9921 REISTERSTOWN RD STE 2F",
"city": "OWINGS MILLS",
"state": "MD",
"postal_code": "211173966",
"telephone_number": "443-826-9580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9921 REISTERSTOWN RD STE 2F",
"city": "OWINGS MILLS",
"state": "MD",
"postal_code": "21117",
"telephone_number": "443-826-9580"
}
],
"practiceLocations": [
{
"address_1": "2 Deveraux Ct Apt 204",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212072228",
"country_code": "US",
"telephone_number": "433-200-3171",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2 Deveraux Ct Apt 204",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212072228",
"country_code": "US",
"telephone_number": "433-200-3171",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COBB",
"first_name": "LATANYA",
"middle_name": "NICOLE",
"name_prefix": "Ms.",
"credential": "LCPC-S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-02",
"last_updated": "2018-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MD",
"license": "LGP3645",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LC5241",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MD",
"license": "LC5241",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2341693",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "092807100",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Owings Mills, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.