Active NPI
Latreace R Webster, SPHD
- Counselor
- Belton, MO
National Provider Identifier
1518445808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- N03011
- Practice address
- 8407 Bradley CT
Belton, MO 64012-2228 - Phone
- (682) 551-8977
- NPI assigned
- Jul 30, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | N03011 | MO | Primary |
Addresses
Primary practice location
8407 Bradley CT
Belton, MO 64012-2228
Mailing address
8407 Bradley CT
Belton, MO 64012-2228
Phone (682) 551-8977
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N03011 | MO | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Letis House Inc | Past | Accepting new patients |
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.
-
- Public Health or Welfare Agency
- Belton, MO
- NPI 1083192371
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532908800000",
"number": "1518445808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8407 BRADLEY CT",
"city": "BELTON",
"state": "MO",
"postal_code": "640122228",
"telephone_number": "682-551-8977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8407 BRADLEY CT",
"city": "BELTON",
"state": "MO",
"postal_code": "640122228",
"telephone_number": "682-551-8977"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEBSTER",
"first_name": "LATREACE",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "SPHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-30",
"last_updated": "2018-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MO",
"license": "N03011",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Belton, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.