Active NPI
Latonia Staten, LCPC
- Professional Counselor
- Derwood, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LC8789
- 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, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carael Group, LLC | Professional | Current | Accepting new patients |
| Grow Healthcare Group PA | Professional | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.