Latosha R Fowlkes, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

149.019998 Issued in IL

Practice address

1260 Lynfield PL
Saint Louis, MO 63147-1516

Phone

(314) 565-6822

NPI assigned

Feb 27, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Latosha R Davis Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1519689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735776000000",
    "number": "1831690593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 LYNFIELD PL",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631471516",
            "telephone_number": "314-565-6822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 LYNFIELD PL",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631471516",
            "telephone_number": "314-565-6822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOWLKES",
        "first_name": "LATOSHA",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-27",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "2019003940",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "149.019998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LATOSHA",
            "last_name": "DAVIS",
            "middle_name": "R",
            "prefix": "MS.",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Elizabeth Anne Fourman
• Roger J Fournelle Jr., MED LPC NCC NCP
• Mary Elizabeth Fournier, MD
• Thomas Jonathan Foutz, MD
• Kathleen Fowler
• Alexander Christian Fox, RN, PMNHP-BC
• Benjamin Elliot Fox, MD
• Dainielle J Fox, PHARM.D.
• Daniel Kenneth Fox, M.D.
• Glennon Joseph Fox, MD

• Mental Health Counselor in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Mental Health Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2025; 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.