Celena Austin Latham, LCDC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

10951 Issued in TX

Practice address

2700 Airport Fwy
Fort Worth, TX 76111-2332

Phone

(817) 332-6329

Fax

(817) 332-2828

NPI assigned

Jul 1, 2012

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Recovery Resource Council

  • Addiction (Substance Use Disorder) Counselor
  • Fort Worth, TX
  • NPI 1659709475
  NPD (past)

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

{
    "created_epoch": "1341100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341100800000",
    "number": "1467716746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 AIRPORT FWY",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761112332",
            "telephone_number": "817-332-6329",
            "fax_number": "817-332-2828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 AIRPORT FWY",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761112332",
            "telephone_number": "817-332-6329",
            "fax_number": "817-332-2828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATHAM",
        "first_name": "CELENA",
        "middle_name": "AUSTIN",
        "credential": "LCDC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-01",
        "last_updated": "2012-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "10951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Augusto C.B. Lastimosa, M.D.
• Gianna E Lastimosa
• Patrick A Lastimosa
• Latch D, PLLC
• Latch Ladies, LLC
• Emelia Latham, RN
• Janet Katherine Latham, R.N.
• Yaxuan Latham, OTR
• Scott Adale Lathan, DDS
• Lathrop Dialysis LLC

• Addiction (Substance Use Disorder) Counselor in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Addiction (Substance Use Disorder) Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.