Active NPI
Latrina Stewart, MS, NCC
- Professional Counselor
- Memphis, TN
National Provider Identifier
1992276570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 560 Colonial Rd Ste 201
Memphis, TN 38117-4097 - Phone
- (901) 930-7397
- NPI assigned
- Dec 7, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
560 Colonial Rd Ste 201
Memphis, TN 38117-4097
Mailing address
5748 Jason CV
Olive Branch, MS 38654-6953
Phone (901) 201-2999
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
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Forward Counseling, PLC | Mental Health | Current | Accepting new patients |
Locations
560 Colonial Rd
Ste 201
Memphis, TN 38117
Phone (901) 310-3911
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1544140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544140800000",
"number": "1992276570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5748 JASON CV",
"city": "OLIVE BRANCH",
"state": "MS",
"postal_code": "386546953",
"telephone_number": "901-201-2999",
"fax_number": "662-874-5793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "560 COLONIAL RD STE 201",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381174097",
"telephone_number": "901-930-7397"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "LATRINA",
"credential": "MS, NCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-12-07",
"last_updated": "2018-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.