Individual provider Active NPI

Latonia Staten, LCPC

  • Professional Counselor
  • Derwood, MD
National Provider Identifier
1629459169
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC8789 Issued in MD
Practice address
15732 Crabbs Branch Way FL 2
Derwood, MD 20855-2620
Phone
(240) 799-1520
Fax
(240) 556-0446
NPI assigned
Jun 10, 2015
Last updated
Dec 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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 LC8789 MD Primary

Addresses

Primary practice location

15732 Crabbs Branch Way FL 2
Derwood, MD 20855-2620

Mailing address

15732 Crabbs Branch Way FL 2
Derwood, MD 20855-2620
Phone (240) 799-1520

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20251002003373 DC Practitioner - Mental Health Counselor 1052817590 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

15732 Crabbs Branch Way
FL 2
Derwood, MD 20855-2620
Phone (240) 889-1251

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Carael Group, LLC Professional CurrentSince Nov 10, 2025 Accepting new patients
Grow Healthcare Group PA Professional CurrentSince Aug 29, 2025 Accepting new patients

Locations

1451 Rockville Pike
Ste 250
Rockville, MD 20852
Phone (301) 494-8682

15732 Crabbs Branch Way
Fl 2
Rockville, MD 20855
Phone (240) 799-1520

199 E Montgomery Ave
Ste 100
Rockville, MD 20850
Phone (240) 676-9913

8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1433894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1629459169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15732 CRABBS BRANCH WAY FL 2",
            "city": "DERWOOD",
            "state": "MD",
            "postal_code": "208552620",
            "telephone_number": "240-799-1520",
            "fax_number": "240-556-0446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15732 CRABBS BRANCH WAY FL 2",
            "city": "DERWOOD",
            "state": "MD",
            "postal_code": "208552620",
            "telephone_number": "240-799-1520",
            "fax_number": "240-556-0446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STATEN",
        "first_name": "LATONIA",
        "name_prefix": "Mrs.",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-10",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC8789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Derwood, MD

Sources for this page

Verify at the official NPI Registry.