Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Johnathan Latta, LIMHP

Individual provider Professional Counselor · NPI 1063103604

Johnathan Latta, LIMHP is a Mental Health Counselor in Omaha, Nebraska. Qualified in 2015, 11 years ago. Practices with Psychiatric Services PC, an 11-clinician group and accepts Medicare assignment. Licensed in Nebraska.

Years since qualifying
11
Licensed in
NE
In the registry since
2023
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Practice location Address checks out

9239 W Center Rd Ste 211
Omaha, NE 68124-1900
Phone: (402) 399-9305
Fax: (402) 397-3191
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 2669 (NE)

Record details

NPI number1063103604
Entity typeIndividual (Type 1)
GenderMale
Credentials LIMHP
Sole proprietorNo
NPI enumeratedMay 16, 2023
Last updated in NPPESNovember 29, 2023
Certification dateNovember 29, 2023
Mailing address9239 W Center Rd Ste 211, Omaha, NE 68124-1900

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Psychiatric Services Pc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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