Mark Thomas Edward Lattimore, LMHCA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A18865 Issued in NC

Practice address

143 Old Wagy Rd
Forest City, NC 28043-9466

Phone

(828) 245-4447

NPI assigned

Jun 21, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Mark Thomas Edward Lattimore Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Specialty

Mental Health Counselor

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1687305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687910400000",
    "number": "1467137950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 WALKALOOSA WAY",
            "city": "MOORESBORO",
            "state": "NC",
            "postal_code": "281147830",
            "telephone_number": "828-289-9345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 OLD WAGY RD",
            "city": "FOREST CITY",
            "state": "NC",
            "postal_code": "280439466",
            "telephone_number": "828-245-4447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATTIMORE",
        "first_name": "MARK",
        "middle_name": "THOMAS EDWARD",
        "credential": "LMHCA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-06-21",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A18865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARK",
            "last_name": "LATTIMORE",
            "middle_name": "THOMAS EDWARD",
            "prefix": "MR.",
            "credential": "LCMHCA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Curtis Koone, PHARMD
• Matthew William Kramer, DO
• Margaret Chesser Krusch, PA
• Lonnie W Lassiter II, M.D.
• Mark E Lattimore, M.DIV, LCASA
• Gretchen A. Lawrence, DPM
• Paul Layman, PA
• Leaps & Bounds Therapetuic Solutions Inc. (Leaps & Bounds Therapeutic Solutions Inc.)
• Leaps & Bounds Therapeutic Solutions Inc
• Sydney Lee, DPT

• Mental Health Counselor in Forest City, NC
• Providers in Forest City, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; 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.