Individual provider Active NPI

Latreece Sarena Kilgo, LPCA

  • Professional Counselor
  • Rock Hill, SC
National Provider Identifier
1518750538
Registry record updated May 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
COU.10396PCI Issued in SC
Practice address
1565 Ebenezer Rd
Rock Hill, SC 29732-3421
Phone
(559) 647-5182
NPI assigned
May 22, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X COU.10396PCI SC Primary

Addresses

Primary practice location

1565 Ebenezer Rd
Rock Hill, SC 29732-3421

Mailing address

719 Nations CT
Rock Hill, SC 29730-3309

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

LicenseStateTypeSpecialty
COU.10396PCISCMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1747872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747872000000",
    "number": "1518750538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 NATIONS CT",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297303309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1565 EBENEZER RD",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297323421",
            "telephone_number": "559-647-5182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILGO",
        "first_name": "LATREECE",
        "middle_name": "SARENA",
        "credential": "LPCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-22",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "COU.10396PCI",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2025; 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.