Latarria Whitehead, LAC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

19 E Main St Ste a
Marlton, NJ 08053-2172

Phone

(856) 985-9091

NPI assigned

Mar 6, 2022

Last updated

Mar 6, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Center for Counseling and Education of Medford

  • Professional Counselor
  • Medford, NJ
  • NPI 1942692389
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1646524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646524800000",
    "number": "1750038105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 OLD BRIDGE TPKE UNIT 1214",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088161938",
            "telephone_number": "216-482-4016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 E MAIN ST STE A",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080532172",
            "telephone_number": "856-985-9091"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "66 N Main St",
            "address_purpose": "LOCATION",
            "city": "Medford",
            "state": "NJ",
            "postal_code": "080552719",
            "country_code": "US",
            "telephone_number": "609-714-8400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITEHEAD",
        "first_name": "LATARRIA",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-06",
        "last_updated": "2022-03-06",
        "certification_date": "2022-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Eileen Wheeler, MA, LPC, NCC
• Whiplash Clinic
• Jacquelyn White Gazzara, CRNA
• Ebony White, LPC
• Tara Walsh White, LCSW
• Lori Whitfield, MS, SPEECH LANGUAGE
• Sophia Naomi Shapiro Wichrowski, PT, DPT
• Miriam Yael Wielgus
• Mary Wightman, LCSW
• Wiley Mission

• Mental Health Counselor in Marlton, NJ
• Providers in Marlton, NJ by specialty
• Mental Health Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.