Individual provider Active NPI

Latosha Sheresa Jones

  • Mental Health Counselor
  • Wilmington, NC
National Provider Identifier
1851034722
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A17399 Issued in NC
Practice address
1437 Military Cutoff Rd Ste 200
Wilmington, NC 28403-3638
Phone
(910) 444-4771
NPI assigned
Apr 18, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X A17399 NC Primary

Addresses

Primary practice location

1437 Military Cutoff Rd Ste 200
Wilmington, NC 28403-3638

Mailing address

1437 Military Cutoff Rd Ste 200
Wilmington, NC 28403-3638
Phone (910) 444-4771

Other practice location 1

3205 Randall Pkwy Ste 105
Wilmington, NC 28403-2565
Phone (910) 742-9243

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.claritywilmington.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20250411000214 NC Practitioner - Mental Health Counselor 7113441163 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lifesource of North CarolinaGroup PAC ID 7416132428, 172 clinicians

Practice addresses (Care Compare)

3205 Randall Pkwy
Suite 105
Wilmington, NC 28403-2565
Phone (910) 742-9243

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A17399NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lifesource of North Carolina CurrentSince Mar 10, 2025 Accepting new patients
Lifesource of North Carolina CurrentSince Mar 10, 2025 Accepting new patients
Clarity Counseling Center PastSince Aug 17, 2025 Accepting new patients

Locations

3205 Randall Pkwy
Ste 105
Wilmington, NC 28403
Phone (910) 338-2880

Organizations & group practices 3

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": "1650240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1851034722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1437 MILITARY CUTOFF RD STE 200",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284033638",
            "telephone_number": "910-444-4771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1437 MILITARY CUTOFF RD STE 200",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284033638",
            "telephone_number": "910-444-4771"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3205 Randall Pkwy Ste 105",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284032565",
            "country_code": "US",
            "telephone_number": "910-742-9243",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "LATOSHA",
        "middle_name": "SHERESA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-18",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A17399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.claritywilmington.com",
            "affiliation": "N",
            "endpointDescription": "business email address",
            "address_1": "1437 Military Cutoff Rd",
            "city": "Wilmington",
            "state": "NC",
            "country_code": "US",
            "postal_code": "284033637",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.