Latescha Tanae Allen, CDCA

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

100128 Issued in OH

Practice address

200 Daruma Pkwy
Moraine, OH 45439-7909

Phone

(937) 262-3502

Fax

(937) 496-5274

NPI assigned

Feb 15, 2018

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

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

{
    "created_epoch": "1518652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518652800000",
    "number": "1508366709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5521 LIBERTY BELL CIR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454597925",
            "telephone_number": "937-301-9508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 DARUMA PKWY",
            "city": "MORAINE",
            "state": "OH",
            "postal_code": "454397909",
            "telephone_number": "937-262-3502",
            "fax_number": "937-496-5274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "LATESCHA",
        "middle_name": "TANAE",
        "credential": "CDCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-15",
        "last_updated": "2018-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "100128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marina Alexander
• Timothy Alldredge, LPCC-S
• Derekka Allen
• Dionte Allen
• Janet Celestia Allen
• Jennifer Allender, PA-C
• Alliance Physicians Inc
• Alison Allport, P.C.
• Allstar Cleaning Services
• Amani Homecare Services LLC

• All providers in Moraine, OH
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2018; 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.