Latisha Ann Primrose, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

65109 Issued in TX

Practice address

2001 S Medford Dr
Lufkin, TX 75901-6260

Phone

(936) 633-5676

Fax

(936) 633-5695

NPI assigned

Sep 29, 2011

Sex

Female

Sole proprietor

No

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 TX

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

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pecan Valley MHMR Region

  • Community/Behavioral Health Agency
  • Granbury, TX
  • NPI 1891915708

  Professional

  Medicare reassignment NPD
• Pecan Valley MHMR Region

  dba Pecan Valley Centers

  • Primary Care Nurse Practitioner
  • Cleburne, TX
  • NPI 1285342295
  NPD

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

{
    "created_epoch": "1317254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701734400000",
    "number": "1891079570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 S MEDFORD DR",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759016260",
            "telephone_number": "936-633-5676",
            "fax_number": "936-633-5695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 S MEDFORD DR",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759016260",
            "telephone_number": "936-633-5676",
            "fax_number": "936-633-5695"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1715 Santa Fe Dr",
            "address_purpose": "LOCATION",
            "city": "Weatherford",
            "state": "TX",
            "postal_code": "760866419",
            "country_code": "US",
            "telephone_number": "817-579-4400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRIMROSE",
        "first_name": "LATISHA",
        "middle_name": "ANN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-29",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "65109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pratibha Deshpande MD PA
• Praxair Healthcare Services, Inc
• Preferred Home Health, LP (Enhabit Home Health)
• Usha Premkumar
• Present Tense Therapy, PLLC
• Priority Wound Care Lymphedema & Hyperbaric Healing Center LLC
• Professional Speech & Language Services, PLLC
• Protostar Journey PLLC
• Angie Putman
• Hani Qamhieh, CSFA

• Professional Counselor in Lufkin, TX
• Providers in Lufkin, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; 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.