Latitude Family Services

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

LATITUDE FAMILY SERVICES

Practice address

1018 Broad St Ste a
Durham, NC 27705-4144

Phone

(919) 450-7533

NPI assigned

Jun 21, 2022

Organization subpart

No

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

Authorized official

Name

Aja Michele Johnson, LCMHCNPI 1356072367

Title

Owner/Therapist

Phone

(919) 450-7533

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Aja Johnson

  • Mental Health Counselor
  • Durham, NC
  • NPI 1356072367
  NPD Authorized official

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

{
    "created_epoch": "1655769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670457600000",
    "number": "1619608601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1018 BROAD ST STE A",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277054144",
            "telephone_number": "919-423-2738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1018 BROAD ST STE A",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277054144",
            "telephone_number": "919-450-7533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LATITUDE FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-21",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "AJA",
        "authorized_official_middle_name": "MICHELE",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "919-450-7533",
        "authorized_official_credential": "LCMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Lass, ATC
• Kamari M Lassiter
• Sandra Denise Lassiter
• Davine Thelma Laster
• Henry David Lather, MD
• Jacob Alexander Latreille
• John Wesley Latting, M.D.
• Abigail Madison Lau, PA-C
• Ashley Lau
• Karen Puiman Lau, FNP

• Mental Health Counselor in Durham, NC
• Providers in Durham, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2022; 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.