Active NPI
Latarsha Ancrum
- Counselor
- Dorchester, MA
National Provider Identifier
1558818310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 895 Blue Hill Ave
Dorchester, MA 02124-2902 - Phone
- (617) 892-0060
- NPI assigned
- Sep 8, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary | ||
| Social Worker | 104100000X |
Addresses
Primary practice location
895 Blue Hill Ave
Dorchester, MA 02124-2902
Mailing address
895 Blue Hill Ave
Dorchester, MA 02124-2902
Phone (617) 892-0060
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473292800000",
"number": "1558818310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "895 BLUE HILL AVE",
"city": "DORCHESTER",
"state": "MA",
"postal_code": "021242902",
"telephone_number": "617-892-0060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "895 BLUE HILL AVE",
"city": "DORCHESTER",
"state": "MA",
"postal_code": "021242902",
"telephone_number": "617-892-0060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANCRUM",
"first_name": "LATARSHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-08",
"last_updated": "2016-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dorchester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.