Individual provider Active NPI

Latalia M Ogisi, LPA

  • Clinical Psychologist
  • Louisville, KY
National Provider Identifier
1689386492
Registry record updated Dec 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
280558 Issued in KY
Practice address
350 Evergreen Rd Ste 102
Louisville, KY 40243-1010
Phone
(252) 342-0050
NPI assigned
Dec 23, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 280558 KY Primary

Addresses

Primary practice location

350 Evergreen Rd Ste 102
Louisville, KY 40243-1010

Mailing address

350 Evergreen Rd Ste 102
Louisville, KY 40243-1010
Phone (252) 342-0050

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL SimplePractice

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
280558KYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Joseph Mull Counseling Services PastSince Dec 28, 2022 Accepting new patients

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": "1671753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671753600000",
    "number": "1689386492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 EVERGREEN RD STE 102",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402431010",
            "telephone_number": "252-342-0050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 EVERGREEN RD STE 102",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402431010",
            "telephone_number": "252-342-0050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGISI",
        "first_name": "LATALIA",
        "middle_name": "M",
        "credential": "LPA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-23",
        "last_updated": "2022-12-23",
        "certification_date": "2022-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "KY",
            "license": "280558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "SimplePractice",
            "affiliation": "N",
            "address_1": "350 Evergreen Rd Ste 102",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402431010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2022; 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.