Jason W Latva, LPC, CSAC, ICS

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

15923-131 Issued in WI

Practice address

630 Cherry St
Green Bay, WI 54301-4931

Phone

(920) 435-2093

NPI assigned

Apr 8, 2013

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Lighthouse Recovery Community Center Inc

  • Community/Behavioral Health Agency
  • Manitowoc, WI
  • NPI 1699625863
  NPD Authorized official
• Jackie Nitschke Center, Inc.

  • Substance Abuse Rehabilitation Facility
  • Green Bay, WI
  • NPI 1265642318
  NPD (past)

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

{
    "created_epoch": "1365379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748563200000",
    "number": "1952744161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 CHERRY ST",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543014931",
            "telephone_number": "920-435-2093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 CHERRY ST",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543014931",
            "telephone_number": "920-435-2093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATVA",
        "first_name": "JASON",
        "middle_name": "W",
        "credential": "LPC, CSAC, ICS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-08",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "7386-125",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "15923-131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kim L Lasecki, PHD
• Joseph William Lasnoski, DDS MS
• Kayla Lass
• Michael A. Last, PT
• Chelsey A Latender, MS, RDN, CD
• Patrick E Laughlin, D.D.S
• Tiffany Lynn Laughlin, APNP
• Mark Alan Laukka, MD
• Ross A Laurent, MD
• Alexa Rae Laurino

• Addiction (Substance Use Disorder) Counselor in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Addiction (Substance Use Disorder) Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2025; 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.