Active NPI
Kathleen M Lattea, LCPC
- Professional Counselor
- Frederick, MD
National Provider Identifier
1730245887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LC0367
- Practice address
- 1011 E Patrick St
Frederick, MD 21701-3119 - Phone
- (301) 662-6966
- Fax
- (301) 662-6966
- NPI assigned
- Dec 30, 2006
- Last updated
- Mar 1, 2008
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LC0367 | MD | Primary |
Addresses
Primary practice location
1011 E Patrick St
Frederick, MD 21701-3119
Mailing address
16209 Old Frederick Rd
Mount Airy, MD 21771-3346
Phone (301) 748-2308
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 |
|---|---|---|---|
| LC0367 | MD | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204329600000",
"number": "1730245887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16209 OLD FREDERICK RD",
"city": "MOUNT AIRY",
"state": "MD",
"postal_code": "217713346",
"telephone_number": "301-748-2308",
"fax_number": "301-662-6966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1011 E PATRICK ST",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217013119",
"telephone_number": "301-662-6966",
"fax_number": "301-662-6966"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LATTEA",
"first_name": "KATHLEEN",
"middle_name": "M",
"credential": "LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-30",
"last_updated": "2008-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LC0367",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.