Active NPI
Latanya King, MASTERS MAED
- Addiction (Substance Use Disorder) Counselor
- Phoenix, AZ
National Provider Identifier
1689979106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- LISAC-0821
- Practice address
- 1122 East Buckeye Road
Suite B-1
Phoenix, AZ 85034 - Phone
- (602) 252-2241
- Fax
- (602) 252-2482
- NPI assigned
- Jan 13, 2011
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LISAC-0821 | AZ | Primary |
Addresses
Primary practice location
1122 East Buckeye Road
Suite B-1
Phoenix, AZ 85034
Mailing address
1122 E Buckeye Rd
6216 S. 36TH Street
Phoenix, AZ 85034-4020
Phone (602) 252-2241
Other names 1
- Ms. La'Tanya Williams
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
| License | State | Type | Specialty |
|---|---|---|---|
| LISAC-0821 | AZ | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| King'S Counseling Services | Current | Accepting new patients |
Locations
1122 E Buckeye Rd
Ste B1
Phoenix, AZ 85034
Phone (602) 252-2241
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.
-
- Community/Behavioral Health Agency
- Phoenix, AZ
- NPI 1295350593
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294876800000",
"number": "1689979106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1122 E BUCKEYE RD",
"address_2": "6216 S. 36TH STREET",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850344020",
"telephone_number": "602-252-2241",
"fax_number": "602-252-2482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1122 EAST BUCKEYE ROAD",
"address_2": "SUITE B-1",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "85034",
"telephone_number": "602-252-2241",
"fax_number": "602-252-2482"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "LATANYA",
"name_prefix": "Ms.",
"credential": "MASTERS MAED",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-01-13",
"last_updated": "2011-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "AZ",
"license": "LISAC-0821",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LA'TANYA",
"last_name": "WILLIAMS",
"prefix": "MS.",
"credential": "MASTERS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.