Individual provider Active NPI

Alicia Latten

  • Mental Health Counselor
  • Winston Salem, NC
National Provider Identifier
1689327645
Registry record updated Feb 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A15923 Issued in NC
Practice address
1399 Ashleybrook LN
Winston Salem, NC 27103-2961
Phone
(336) 774-2194
NPI assigned
Jan 31, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X A15923 NC Primary

Addresses

Primary practice location

1399 Ashleybrook LN
Winston Salem, NC 27103-2961

Mailing address

2815 Millbrook Dr Apt K
Winston Salem, NC 27105-4245
Phone (336) 986-7005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240610003037 NC Practitioner - Mental Health Counselor 7214479922 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Neil Group Inc 19 clinicians

Practice addresses (Care Compare)

1399 Ashleybrook LN
Suite 100
Winston Salem, NC 27103-2961
Phone (336) 774-2194

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A15923NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Neil Group, Inc Mental Health CurrentSince Apr 18, 2024 Accepting new patients
The Neil Group, Inc CurrentSince Feb 6, 2022 Accepting new patients

Locations

1301 Eastchester Dr
Ste 201
High Point, NC 27265

1399 Ashleybrook Ln
Winston Salem, NC 27103

1399 Ashleybrook Ln
Ste 100
Winston Salem, NC 27103
Phone (336) 446-9080

110 W Elm St
Yadkinville, NC 27055
Phone (336) 575-3747

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1643587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643846400000",
    "number": "1689327645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2815 MILLBROOK DR APT K",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271054245",
            "telephone_number": "336-986-7005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1399 ASHLEYBROOK LN",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271032961",
            "telephone_number": "336-774-2194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATTEN",
        "first_name": "ALICIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-31",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A15923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.