Active NPI
Alicia Latten
- Mental Health Counselor
- Winston Salem, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- A15923
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| A15923 | NC | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Neil Group, Inc | Mental Health | Current | Accepting new patients |
| The Neil Group, Inc | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2022; 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.