1. Home
  2. Directory
  3. Texas
  4. San Antonio
  5. Counselor
  6. NPI Profile

NICHELLE LATHAM MS, LPC
NPI 1023958634
Counselor - Mental Health in San Antonio, TX

Active since March 31, 2026PECOS Enrolled
7154 SHADY GROVE DR, SAN ANTONIO, TX 78227(210) 609-6008 Get Directions Write a Review

NPPES record last updated: March 31, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nichelle Latham Ms, Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICHELLE LATHAM MS, LPC (NPI 1023958634) is an individual mental health provider in San Antonio, Texas, licensed in Texas (93046) and active in the NPI registry since March 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1023958634
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameNICHELLE LATHAMCredential: MS, LPC
Location Address7154 SHADY GROVE DRSan Antonio, TX 78227-1818
Mailing Address7154 Shady Grove DrSan Antonio, TX 78227-1818
Phone(210) 609-6008
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateMarch 31, 2026
NPPES CertifiedMarch 31, 2026
✔ NPI 1023958634 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in TX · 93046
7154 SHADY GROVE DR, San Antonio, TX 78227
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nichelle Latham Ms, Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4789155797
PECOS Enrollment IDI20260609004660
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nichelle Latham's NPI number?

The NPI number for Nichelle Latham is 1023958634. It was assigned to this individual provider in the NPPES registry on March 31, 2026.

Where is Nichelle Latham located?

Nichelle Latham practices at 7154 Shady Grove Dr, San Antonio, TX 78227. The listed phone number is (210) 609-6008.

What is Nichelle Latham's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Nichelle Latham enrolled in Medicare?

Yes. Nichelle Latham is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nichelle Latham was last updated on March 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.