Active NPI
Latora Pegross
- Mental Health Counselor
- Monroe, LA
National Provider Identifier
1861932386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 124 Van Buren Dr
Monroe, LA 71203-6802 - Phone
- (318) 884-5773
- NPI assigned
- Mar 2, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
124 Van Buren Dr
Monroe, LA 71203-6802
Mailing address
124 Van Buren Dr
Monroe, LA 71203-6802
Phone (318) 884-5773
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488412800000",
"number": "1861932386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "124 VAN BUREN DR",
"city": "MONROE",
"state": "LA",
"postal_code": "712036802",
"telephone_number": "318-884-5773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 VAN BUREN DR",
"city": "MONROE",
"state": "LA",
"postal_code": "712036802",
"telephone_number": "318-884-5773"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEGROSS",
"first_name": "LATORA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-02",
"last_updated": "2017-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monroe, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.