Lateshia Ann Gilliam, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701010711 Issued in VA

Practice address

102 E Hicks St Ste 100
Lawrenceville, VA 23868-1830

Phone

(434) 253-5617

NPI assigned

Sep 3, 2021

Sex

Female

Sole proprietor

Yes

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

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Crossroads Services Board

  • Community/Behavioral Health Agency
  • Farmville, VA
  • NPI 1528091063
  Medicare reassignment NPD
• Omni Addiction Services

  • Professional Counselor
  • Lawrenceville, VA
  • NPI 1568176717
  NPD Authorized official
• Mindalign Counseling Group Inc

  • Professional Counselor
  • South Hill, VA
  • NPI 1336718675
  NPD (past)
• Vaught Christian Counseling PC

  • Community/Behavioral Health Agency
  • Farmville, VA
  • NPI 1821164583

  Professional

  NPD (past)

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

{
    "created_epoch": "1630627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663113600000",
    "number": "1841968708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 E HICKS ST STE 100",
            "city": "LAWRENCEVILLE",
            "state": "VA",
            "postal_code": "238681830",
            "telephone_number": "434-253-5617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 E HICKS ST STE 100",
            "city": "LAWRENCEVILLE",
            "state": "VA",
            "postal_code": "238681830",
            "telephone_number": "434-253-5617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLIAM",
        "first_name": "LATESHIA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-03",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701010711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Alternatives LLC
• Robert E. Fisher, PH.D.
• Erma Lavaughan Freeman, D.D.S.
• G & H Logistics, LLC
• Jennifer Garnes
• Graceful Hands
• Aliyah Green
• Kenneth Vermon Green Jr.
• Daniel Grist, PHARMD
• William Henry Harrison III, MD

• Professional Counselor in Lawrenceville, VA
• Providers in Lawrenceville, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.