Active NPI
Delia Janice Latorre, L.M.H.C.
- Mental Health Counselor
- Tampa, FL
National Provider Identifier
1457565715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH 11509
- Practice address
- 3825 Henderson Blvd
Tampa, FL 33629-5037 - Phone
- (813) 839-6700
- Fax
- (813) 835-1722
- NPI assigned
- May 9, 2007
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH 11509 | FL | Primary |
Addresses
Primary practice location
3825 Henderson Blvd
Tampa, FL 33629-5037
Mailing address
1206 W. Plymouth Street
Tampa, FL 33603
Phone (813) 245-2181
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH 11509 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354752000000",
"number": "1457565715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1206 W. PLYMOUTH STREET",
"city": "TAMPA",
"state": "FL",
"postal_code": "33603",
"telephone_number": "813-245-2181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3825 HENDERSON BLVD",
"city": "TAMPA",
"state": "FL",
"postal_code": "336295037",
"telephone_number": "813-839-6700",
"fax_number": "813-835-1722"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LATORRE",
"first_name": "DELIA",
"middle_name": "JANICE",
"name_prefix": "Ms.",
"credential": "L.M.H.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-09",
"last_updated": "2012-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH 11509",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2012; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.