Active NPI
Latoya Latrice Thomas, LSW
- Mental Health Counselor
- Cleveland, OH
National Provider Identifier
1881171973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- S.0900508
- Practice address
- 3929 Rocky River Dr
Cleveland, OH 44111-4153 - Phone
- (216) 252-5800
- NPI assigned
- Jul 23, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | |||
| Home Health Aide | 374U00000X | |||
| Community Health Worker | 172V00000X | |||
| Home Health Agency | 251E00000X | |||
| Community/Behavioral Health Agency | 251S00000X | |||
| Mental Illness Community Based Residential Treatment Facility | 320800000X | |||
| Mental Health Counselor | 101YM0800X | S.0900508 | OH | Primary |
Addresses
Primary practice location
3929 Rocky River Dr
Cleveland, OH 44111-4153
Mailing address
4106 Princeton Blvd
South Euclid, OH 44121-2343
Phone (216) 849-0111
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S.0900508 | OH | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohioguidestone | Community/Behavioral Health | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Berea, OH
- NPI 1174680557
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715817600000",
"number": "1881171973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4106 PRINCETON BLVD",
"city": "SOUTH EUCLID",
"state": "OH",
"postal_code": "441212343",
"telephone_number": "216-849-0111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3929 ROCKY RIVER DR",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441114153",
"telephone_number": "216-252-5800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "LATOYA",
"middle_name": "LATRICE",
"credential": "LSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-07-23",
"last_updated": "2024-05-16",
"certification_date": "2024-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": false
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "S.0900508",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.