MS. LATESHA SABREE EDMERSON LCPC
NPI 1093444598
Counselor - Professional in Baltimore, MD

Active since June 09, 2022PECOS EnrolledAccepts Medicare Assignment
2300 GARRISON BLVD STE 104, BALTIMORE, MD 21216(410) 233-6200(410) 233-6201 Get Directions Write a Review

NPPES record last updated: May 8, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 8, 2024, Jun 9, 2022 (2 updates tracked since 2022).

About Ms. Latesha Sabree Edmerson Lcpc NPPES

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

MS. LATESHA SABREE EDMERSON LCPC (NPI 1093444598) is an individual professional provider in Baltimore, Maryland, licensed in Maryland (LC15064) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1093444598
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMS. LATESHA SABREE EDMERSONCredential: LCPC
Location Address2300 GARRISON BLVD STE 104Baltimore, MD 21216-2308
Mailing Address223 Rodgers Forge Rd Apt TaBaltimore, MD 21212-5302 · (973) 699-5233
Fax(410) 233-6201
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJune 9, 2022
Last NPPES UpdateMay 8, 20242 updates tracked since enumeration
NPPES CertifiedMay 8, 2024
NPI 1093444598 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in MD · LC15064
2300 GARRISON BLVD STE 104, Baltimore, MD 21216

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ms. Latesha Sabree Edmerson Lcpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6608217831
PECOS Enrollment IDI20240517003369
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.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker
2300 GARRISON BLVD STE 104
BALTIMORE, MD 21216
Social Worker
2300 GARRISON BLVD STE 104
BALTIMORE, MD 21216
Case Management
2300 GARRISON BLVD STE 104
BALTIMORE, MD 21216
Social Worker
2300 GARRISON BLVD STE 104
BALTIMORE, MD 21216
Counselor (Mental Health)
2300 GARRISON BLVD STE 104
BALTIMORE, MD 21216
Nurse Practitioner (Psychiatric/Mental Health)
2300 GARRISON BLVD STE 104
BALTIMORE, MD 21216

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093444598, enumerated as an "individual" on June 09, 2022.

The provider is located at 2300 GARRISON BLVD STE 104 BALTIMORE, MD 21216 and the phone number is (410) 233-6200.

Counselor with taxonomy code 101YP2500X and a focus in Professional.