Active NPI
James Corey Latta, P-LPC
- Counselor
- Memphis, TN
National Provider Identifier
1679385892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- P-0711
- Practice address
- 199 Summitt St
Memphis, TN 38104-4238 - Phone
- (901) 248-0595
- NPI assigned
- Jan 24, 2025
- Last updated
- Jan 24, 2025
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | P-0711 | MS | Primary |
Addresses
Primary practice location
199 Summitt St
Memphis, TN 38104-4238
Mailing address
3566 Crestwyn Dr
Germantown, TN 38138-8525
Phone (901) 371-7076
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- 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, 2020
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
199 Summitt St
Memphis, TN 38104-4232
56 33Rd Ave S
Suite 109
Saint Cloud, MN 56301-3722
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P-0711 | MS | MD | Counselor |
| 7909 | TN | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thistle and Bee Enterprises Inc. | Current | Accepting new patients |
Locations
199 Summitt St
Memphis, TN 38104
Phone (901) 338-8299
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.
-
- Mental Health Counselor
- Memphis, TN
- NPI 1669228565
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1737676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737676800000",
"number": "1679385892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3566 CRESTWYN DR",
"city": "GERMANTOWN",
"state": "TN",
"postal_code": "381388525",
"telephone_number": "901-371-7076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "199 SUMMITT ST",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381044238",
"telephone_number": "901-248-0595"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LATTA",
"first_name": "JAMES",
"middle_name": "COREY",
"name_prefix": "Dr.",
"credential": "P-LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-01-24",
"last_updated": "2025-01-24",
"certification_date": "2025-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MS",
"license": "P-0711",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2025; 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.