Individual provider Active NPI

Latrice Lewis, M.A., L.P.C.

  • Professional Counselor
  • Philadelphia, PA
National Provider Identifier
1750710877
Registry record updated Feb 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC006968 Issued in PA
Practice address
6703 Germantown Ave Ste 240
Philadelphia, PA 19119-2109
Phone
(215) 687-7050
NPI assigned
Nov 8, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2026

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 PC006968 PA Primary

Addresses

Primary practice location

6703 Germantown Ave Ste 240
Philadelphia, PA 19119-2109

Mailing address

PO Box 4044
Philadelphia, PA 19118-8044
Phone (215) 687-7050

Other practice location 1

390 Commerce Dr # 340
Fort Washington, PA 19034-2600
Phone (215) 687-7050

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
PC006968PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Latrice R. Lewis, LLC CurrentSince May 25, 2021 Accepting new patients
Evergrowing Development Center PastSince May 25, 2021 Accepting new patients

Locations

390 Commerce Dr
Fort Washington, PA 19034
Phone (215) 259-8444

6703 Germantown Ave
Ste 240
Philadelphia, PA 19119
Phone (215) 687-7050

Organizations & group practices 2

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": "1383868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770163200000",
    "number": "1750710877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4044",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191188044",
            "telephone_number": "215-687-7050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6703 GERMANTOWN AVE STE 240",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191192109",
            "telephone_number": "215-687-7050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "390 Commerce Dr # 340",
            "address_purpose": "LOCATION",
            "city": "Fort Washington",
            "state": "PA",
            "postal_code": "190342600",
            "country_code": "US",
            "telephone_number": "215-687-7050",
            "fax_number": "215-330-4008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "LATRICE",
        "name_prefix": "Mrs.",
        "credential": "M.A., L.P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-08",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC006968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2026; 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.