Individual provider Active NPI

Latambara Joy Swan-Wesley, LPCC

  • Professional Counselor
  • Baldwin, LA
National Provider Identifier
1649678574
Registry record updated Feb 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4880 Issued in LA
Practice address
18331 Hwy 182 W
Baldwin, LA 70514
Phone
(337) 924-9418
Fax
(337) 924-9165
NPI assigned
Dec 9, 2014
Last updated
Feb 25, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2019

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 4880 LA Primary

Addresses

Primary practice location

18331 Hwy 182 W
Baldwin, LA 70514

Mailing address

1115 Weber St
Franklin, LA 70538-4124
Phone (337) 828-2550

Other names 1

  • Latambara Joy Swan Former name

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

State licenses

LicenseStateTypeSpecialty
4880LAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Swla Center for Health Services Past Accepting new patients
Swla Center for Health Services Past Accepting new patients
Teche Action Board, Inc. Past Accepting new patients
Teche Action Board, Inc. Past Accepting new patients
Swla Center for Health Services Past Accepting new patients

Organizations & group practices 5

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": "1418083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551052800000",
    "number": "1649678574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 WEBER ST",
            "city": "FRANKLIN",
            "state": "LA",
            "postal_code": "705384124",
            "telephone_number": "337-828-2550",
            "fax_number": "337-355-2335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18331 HWY 182 W",
            "city": "BALDWIN",
            "state": "LA",
            "postal_code": "70514",
            "telephone_number": "337-924-9418",
            "fax_number": "337-924-9165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWAN-WESLEY",
        "first_name": "LATAMBARA",
        "middle_name": "JOY",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-09",
        "last_updated": "2019-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "4880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LATAMBARA",
            "last_name": "SWAN",
            "middle_name": "JOY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Baldwin, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2019; 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.