Latrice N Baxter, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

39003055A Issued in IN

Practice address

201 N. Illinois Street
16TH Floor, South Tower
Indianpolis, IN 46204

Phone

(317) 395-3716

NPI assigned

May 19, 2017

Sex

Female

Sole proprietor

No

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.

• A Conscious Change Counseling and Wellness Center, LLC

  • Community/Behavioral Health Agency
  • Indianaplis, IN
  • NPI 1346815909
  NPD Authorized official

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

• Latrice N Casiano Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 1, 2021.

{
    "created_epoch": "1495152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622505600000",
    "number": "1912434010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N. ILLINOIS STREET",
            "address_2": "16TH FLOOR, SOUTH TOWER",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46204",
            "telephone_number": "317-395-3716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N. ILLINOIS STREET",
            "address_2": "16TH FLOOR, SOUTH TOWER",
            "city": "INDIANPOLIS",
            "state": "IN",
            "postal_code": "46204",
            "telephone_number": "317-395-3716"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1626 Locust St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191036305",
            "country_code": "US",
            "telephone_number": "317-395-3716",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAXTER",
        "first_name": "LATRICE",
        "middle_name": "N",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-19",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39003055A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LATRICE",
            "last_name": "CASIANO",
            "middle_name": "N",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jonathan W Buechler, M.D.
• Shaymaa Hegazy, M.D.
• Linda Gisel Jeronimo I
• Alexis Danielle Meriweather, MD
• Jason Saunders, MD

• All providers in Indianpolis, IN
• Mental Health Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.