Individual provider Active NPI

Latonya Shephard, LPC

  • Mental Health Counselor
  • Southfield, MI
National Provider Identifier
1609213107
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6401020272 Issued in MI
Practice address
17700 Northland Park CT Ste 23
Southfield, MI 48075-4302
Phone
(248) 795-9518
NPI assigned
May 24, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6401020272 MI Primary

Addresses

Primary practice location

17700 Northland Park CT Ste 23
Southfield, MI 48075-4302

Mailing address

17700 Northland Park CT Ste 23
Southfield, MI 48075-4302
Phone (248) 795-9518

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240729002927 MI Practitioner - Mental Health Counselor 7012453889 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
You Can Soar Counseling Services, LLC Current Accepting new patients
Team Mental Health Services Inc. CurrentSince May 13, 2024 Accepting new patients
Team Wellness Center CurrentSince May 13, 2024 Accepting new patients
Team Mental Health Services Inc. Past Accepting new patients

Locations

290 Town Center Dr
Ste 400
Dearborn, MI 48126
Phone (248) 763-5289

2925 Russell St
Detroit, MI 48207
Phone (313) 462-4714

17700 Northland Park Ct
Ste 23
Southfield, MI 48075
Phone (248) 795-9518

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1369353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1609213107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17700 NORTHLAND PARK CT STE 23",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480754302",
            "telephone_number": "248-795-9518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17700 NORTHLAND PARK CT STE 23",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480754302",
            "telephone_number": "248-795-9518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPHARD",
        "first_name": "LATONYA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-24",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401020272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.