Active NPI
Joel Mark Laatsch, LMHC, NCC
- Mental Health Counselor
- Brandon, FL
National Provider Identifier
1700309945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 13522
- Practice address
- 1119 Nikki View Drive
Brandon, FL 33511 - Phone
- (813) 734-5672
- Fax
- (813) 248-5999
- NPI assigned
- Jul 19, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Counselor | 101YS0200X | FL | ||
| Mental Health Counselor | 101YM0800X | 13522 | FL | Primary |
Addresses
Primary practice location
1119 Nikki View Drive
Brandon, FL 33511
Mailing address
1119 Nikki View Dr
Brandon, FL 33511-4879
Phone (813) 734-5672
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5037932 | Other | FL | AETNA |
| 4652849 | Other | BEACON HEALTH OPTIONS, INC. | |
| 920760 | Other | FL | CIGNA |
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 |
|---|---|---|---|
| 13522 | FL | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tampa Bay Clinical Counseling Group PLLC | Mental Health | Current | 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.
-
- Mental Health Counselor
- Plant City, FL
- NPI 1932656329
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1700309945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1119 NIKKI VIEW DR",
"city": "BRANDON",
"state": "FL",
"postal_code": "335114879",
"telephone_number": "813-734-5672",
"fax_number": "813-248-5999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1119 NIKKI VIEW DRIVE",
"city": "BRANDON",
"state": "FL",
"postal_code": "33511",
"telephone_number": "813-734-5672",
"fax_number": "813-248-5999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAATSCH",
"first_name": "JOEL",
"middle_name": "MARK",
"name_prefix": "Dr.",
"credential": "LMHC, NCC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-07-19",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "FL",
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "13522",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5037932",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEACON HEALTH OPTIONS, INC.",
"identifier": "4652849",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "920760",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brandon, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.