Alicia Marie Latraille

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

93565 Issued in TX

Practice address

600 N Grant Ave
Odessa, TX 79761-4503

Phone

(432) 256-4424

NPI assigned

Jul 1, 2020

Last updated

Mar 3, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Permian Basin Community Centers for Mental Health and Mental RetardatiGroup PAC ID 8426955865, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Permian Basin Community Centers for Mental Health & Mental Retardation

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Midland, TX
  • NPI 1700976453
  Medicare reassignment Care Compare group
• Transform Therapy Co PLLC

  • Adult Mental Health Clinic/Center
  • Austin, TX
  • NPI 1063249175
  NPD Authorized official
• Autism Matters, Inc.

  dba Bertone Speech, Language & Communication Services

  • Speech-Language Pathologist
  • Plymouth, MN
  • NPI 1649469289
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1593561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1407473952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N GRANT AVE",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797614503",
            "telephone_number": "432-256-4424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N GRANT AVE",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797614503",
            "telephone_number": "432-256-4424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATRAILLE",
        "first_name": "ALICIA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-01",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "93565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Lambert
• Mindi Lambert
• Mary C Lane
• Jarrett Lange, PT
• Lawrence David Lassa, O.D.
• Dayna Lavallee
• Modinat Abolore Lawal
• Brent Edward Lawler Sr., COTA
• Tammy Ruth Lawrence, LSA
• Rosalyn Lawson

• Mental Health Counselor in Odessa, TX
• Providers in Odessa, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.