Active NPI
Latoya D. Yaites, PH.D., LPC
- Professional Counselor
- Southlake, TX
National Provider Identifier
1639518129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 68605
- Practice address
- 1500 Corporate Cir Ste 4
Southlake, TX 76092-5954 - Phone
- (512) 423-6521
- NPI assigned
- Jun 18, 2013
- 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 | 68605 | TX | Primary |
Addresses
Primary practice location
1500 Corporate Cir Ste 4
Southlake, TX 76092-5954
Mailing address
2800 Brazos Blvd Apt 16306
Euless, TX 76039-5487
Phone (512) 423-6521
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 68605 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474934400000",
"number": "1639518129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2800 BRAZOS BLVD APT 16306",
"city": "EULESS",
"state": "TX",
"postal_code": "760395487",
"telephone_number": "512-423-6521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 CORPORATE CIR STE 4",
"city": "SOUTHLAKE",
"state": "TX",
"postal_code": "760925954",
"telephone_number": "512-423-6521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YAITES",
"first_name": "LATOYA",
"middle_name": "D.",
"name_prefix": "Dr.",
"credential": "PH.D., LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-18",
"last_updated": "2016-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "68605",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Southlake, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.