Active NPI
Latasha Robinson, LPC
- Professional Counselor
- Jackson, MS
National Provider Identifier
1649703695
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2938
- Practice address
- 460 Briarwood Dr
Suite 510
Jackson, MS 39206-3051 - Phone
- (601) 956-4816
- Fax
- (601) 956-4817
- NPI assigned
- Apr 6, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Professional Counselor | 101YP2500X | 2938 | MS | Primary |
Addresses
Primary practice location
460 Briarwood Dr
Suite 510
Jackson, MS 39206-3051
Mailing address
5620 Gladewood Dr
Jackson, MS 39211-2608
Phone (601) 966-0154
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01670076 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2938 | MS | MD | Case Manager/Care Coordinator |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrive Counseling LLC | Current | Accepting new patients |
Locations
4811 Old Canton Rd
Ste A
Jackson, MS 39211
Phone (228) 707-4340
1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687305600000",
"number": "1649703695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5620 GLADEWOOD DR",
"city": "JACKSON",
"state": "MS",
"postal_code": "392112608",
"telephone_number": "601-966-0154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "460 BRIARWOOD DR",
"address_2": "SUITE 510",
"city": "JACKSON",
"state": "MS",
"postal_code": "392063051",
"telephone_number": "601-956-4816",
"fax_number": "601-956-4817"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBINSON",
"first_name": "LATASHA",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-06",
"last_updated": "2023-06-21",
"certification_date": "2023-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MS",
"license": "2938",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01670076",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.