Individual provider Active NPI

Latoria M Miller

  • Professional Counselor
  • Lawton, OK
National Provider Identifier
1861742868
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
1601 SW Parkridge Blvd Ste 215
Lawton, OK 73505-7564
Phone
(580) 919-4050
NPI assigned
Sep 17, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

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 Primary

Addresses

Primary practice location

1601 SW Parkridge Blvd Ste 215
Lawton, OK 73505-7564

Mailing address

1601 SW Parkridge Blvd Ste 215
Lawton, OK 73505-7564
Phone (580) 919-4050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20240709004079 OK Practitioner - Mental Health Counselor 2961947429 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Our House Mhsa Inc CurrentSince Apr 25, 2024 Accepting new patients
Purposeful Counsel LLC Professional CurrentSince Jun 15, 2025 Accepting new patients

Locations

1601 SW Parkridge Blvd
Ste 215
Lawton, OK 73505
Phone (580) 919-4050

2305 SW H Ave
Ste 1
Lawton, OK 73505
Phone (580) 699-8000

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": "1347840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749513600000",
    "number": "1861742868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 SW PARKRIDGE BLVD STE 215",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735057564",
            "telephone_number": "580-919-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 SW PARKRIDGE BLVD STE 215",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735057564",
            "telephone_number": "580-919-4050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "LATORIA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-17",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawton, OK

Sources for this page

Verify at the official NPI Registry.