Individual provider Active NPI

Latanya Omondi

  • Marriage & Family Therapist
  • Baton Rouge, LA
National Provider Identifier
1447840335
Registry record updated Dec 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
PLM1451 Issued in LA
Practice address
11408 Lake Sherwood Ave N Ste a
Baton Rouge, LA 70816-0421
Phone
(225) 261-7143
NPI assigned
Jan 25, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Marriage & Family Therapist 106H00000X PLM1451 LA Primary

Addresses

Primary practice location

11408 Lake Sherwood Ave N Ste a
Baton Rouge, LA 70816-0421

Mailing address

11408 Lake Sherwood Ave N Ste a
Baton Rouge, LA 70816-0421
Phone (225) 261-7143

Other practice location 1

5455 Almira Dr NE
Bremerton, WA 98311-8330
Phone (360) 373-5071

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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

Enrollment IDStateProvider typePAC IDDetails
I20240102002259 LA Practitioner - Marriage and Family Therapist 2163872227 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PLM1451LAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hco Behavioral Health Services Case Manager/Care Coordinator CurrentSince Jan 1, 2024 Accepting new patients

Locations

11616 Southfork Ave
Ste 403
Baton Rouge, LA 70816
Phone (225) 261-7143

11408 Lake Sherwood Ave N
Ste A
Baton Rouge, LA 70816
Phone (225) 261-7143

128 Demanade Blvd
Ste 201
Lafayette, LA 70503
Phone (225) 261-7143

128 Demanade Blvd
Ste 105
Lafayette, LA 70503
Phone (225) 261-7143

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.

NPI Registry JSON

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

{
    "created_epoch": "1611532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672358400000",
    "number": "1447840335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11408 LAKE SHERWOOD AVE N STE A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708160421",
            "telephone_number": "225-261-7143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11408 LAKE SHERWOOD AVE N STE A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708160421",
            "telephone_number": "225-261-7143"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5455 Almira Dr NE",
            "address_purpose": "LOCATION",
            "city": "Bremerton",
            "state": "WA",
            "postal_code": "983118330",
            "country_code": "US",
            "telephone_number": "360-373-5071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OMONDI",
        "first_name": "LATANYA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-25",
        "last_updated": "2022-12-30",
        "certification_date": "2022-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "LA",
            "license": "PLM1451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.