Active NPI
Latara Harris, LLMSW
- Professional Counselor
- Livonia, MI
National Provider Identifier
1750579900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6801088493
- Practice address
- 37637 5 Mile Rd # 223
Livonia, MI 48154-1543 - Phone
- (743) 513-4100
- NPI assigned
- Oct 11, 2007
- 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 | 6801088493 | MN | Primary |
Addresses
Primary practice location
37637 5 Mile Rd # 223
Livonia, MI 48154-1543
Mailing address
PO Box 15516
Detroit, MI 48215-0516
Phone (313) 334-2504
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 |
|---|---|---|---|
| 6801088493 | MN | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192060800000",
"number": "1750579900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 15516",
"city": "DETROIT",
"state": "MI",
"postal_code": "482150516",
"telephone_number": "313-334-2504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37637 5 MILE RD # 223",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481541543",
"telephone_number": "743-513-4100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "LATARA",
"credential": "LLMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-10-11",
"last_updated": "2007-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MN",
"license": "6801088493",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Livonia, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.