Individual provider Active NPI

Latinna Collins

  • Professional Counselor
  • Conyers, GA
National Provider Identifier
1710795166
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
APC010068 Issued in GA
Practice address
1655 Callaway Loop
Conyers, GA 30012-3672
Phone
(404) 938-5580
NPI assigned
Dec 18, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X APC010068 GA Primary

Addresses

Primary practice location

1655 Callaway Loop
Conyers, GA 30012-3672

Mailing address

1655 Callaway Loop
Conyers, GA 30012-3672
Phone (404) 938-5580

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20250723001920 GA Practitioner - Mental Health Counselor 4981110103 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APC010068GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Psychiatric Professionals of Georgia, LLC CurrentSince Jun 11, 2025 Accepting new patients
Rhodium Care Group of Ga LLC CurrentSince Oct 21, 2025 Accepting new patients
Grow Healthcare Group PA Professional CurrentSince Aug 19, 2025 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

715 Peachtree St NE
Ste 100
Atlanta, GA 30308
Phone (202) 972-4964

922 McDonough Rd
Jackson, GA 30233
Phone (770) 775-7832

1608 Tree Ln
Ste A100
Snellville, GA 30078
Phone (770) 979-7466

1325 Satellite Blvd NW
Ste 400
Suwanee, GA 30024
Phone (470) 713-0414

2013 Cedarbridge Ave
Lakewood, NJ 08701

Organizations & group practices 3

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": "1734480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1710795166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1655 CALLAWAY LOOP",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300123672",
            "telephone_number": "404-938-5580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1655 CALLAWAY LOOP",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300123672",
            "telephone_number": "404-938-5580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "LATINNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-18",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "APC010068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conyers, GA

Sources for this page

Verify at the official NPI Registry.